This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

ECAR (Endovasculaire ou Chirurgie dans les aneurysms aorto-iliaques rompus): a French randomized controlled trial of endovascular versus open surgical repair of ruptured aorto-iliac aneurysms. Eur J Vasc Endovasc Surg 2015; 50: 303-310.

Published: 29th October 2015

Authors: Desgranges P, Kobeiter H, Katashian S, Bouffi M, Gouny P, Favre J-P et al. for the ECAR investigators et al.

Conclusion

Mortality at 30 days (18 per cent EVAR versus 24 per cent open) and one year (30 versus 35 per cent, respectively) were similar in this study that included 107 patients with ruptured aneurysms suitable for EVAR. Overall, EVAR was cheaper.

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