OBJECTIVES/BACKGROUND: ECAR (Endovasculaire ou Chirurgie dans les An  vrysmes aorto-iliaques Rompus) is a prospective multicentre randomized controlled trial including consecutive @entity1 with @entity1756 ( @entity1756 ) eligible for treatment by either endovascular (EVAR) or open surgical repair (OSR). Inclusion criteria were hemodynamic stability and computed tomography scan demonstrating aorto-iliac @entity397 . METHODS: Randomization was done by week, synchronously in all centers. The primary end point was 30 day mortality. Secondary end points were post-operative morbidity, length of stay in the intensive care unit (ICU), amount of blood transfused (units) and 6 month mortality. RESULTS: From January 2008 to January 2013, 107 @entity1 (97 @entity1 , 10 @entity1 ; median age 74.4 years) were enrolled in 14 centers: 56 (52.3%) in the EVAR group and 51 (47.7%) in the OSR group. The groups were similar in terms of age, sex, consciousness, systolic blood pressure, Hardman index, IGSII score, type of @entity397 , use of endoclamping balloon, and levels of troponin, creatinine, and hemoglobin. Delay to treatment was higher in the EVAR group (2.9 vs. 1.3 hours; p  <  .005). Mortality at 30 days and 1 year were not different between the groups (18% in the EVAR group vs. 24% in the OSR group at 30 days, and 30% vs. 35%, respectively, at 1 year). Total respiratory support time was lower in the EVAR group than in the OSR group (59.3 hours vs. 180.3 hours; p  =  .007), as were @entity358 (15.4% vs. 41.5%, respectively; p  =  .050), total blood transfusion (6.8 vs. 10.9, respectively; p  =  .020), and duration of ICU stay (7 days vs. 11.9 days, respectively; p  =  .010). CONCLUSION: In this study, EVAR was found to be equal to OSR in terms of 30 day and 1 year mortality. However, EVAR was associated with less severe complications and less consumption of hospital resources than OSR.

ECAR (Endovasculaire ou Chirurgie dans les An  vrysmes aorto-iliaques Rompus): A French Randomized Controlled Trial of Endovascular Versus Open Surgical Repair of XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'men'] @entity397 :: ('MESH:D012421', 'Disease') :: ['rupture'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary complications'] @entity1756 :: ('MESH:D017542', 'Disease') :: ['rAIA', 'ruptured aorto-iliac aneurysms']
@entity1756 :: (MESH:D017542,Disease) :: ['Ruptured Aorto-iliac Aneurysms']
