BACKGROUND: Endovascular repair (ER) of axillosubclavian @entity1317 is a minimally invasive alternative to open repair (OR). The purpose of this study was to compare the outcomes of ER vs OR. METHODS: A retrospective study was performed of @entity1 who sustained axillosubclavian @entity1317 admitted to two high-volume academic @entity130 centers between 2003 and 2013. @entity1 undergoing ER and OR were matched according to 25 different demographic and clinical variables in a 1:3 ratio using propensity scores. The primary outcome was in-hospital mortality. Secondary outcomes were complications and length of stay. RESULTS: Among 153 @entity1 (79.7% male; mean age, 32.7     15.9  years) who sustained axillosubclavian @entity1317 , 18 (11.8%) underwent ER and 135 (88.2%) had OR. Matched cases (ER, n  = 18) and controls (OR, n  = 54) had similar demographic and clinical data, such as age, gender, admission systolic blood pressure and Glasgow @entity772 Scale score, body Abbreviated Injury Scale scores, Injury Severity Score, and transfusion requirements. @entity1 undergoing ER had significantly lower in-hospital mortality compared with @entity1 undergoing OR (5.6% vs 27.8%; P  = .040; odds ratio, 0.7; 95% confidence interval, 0.6-0.9). Similarly, @entity1 undergoing ER had substantially lower rates of surgical site infections and a trend toward lower rates of @entity295 . Outpatient follow-up was available in 88.2% (n  = 15) of the @entity1 at a median time of 8  months (1-30  months). Two ER @entity1 required open reintervention for stent-related complications (one for a type Ia endoleak and another for stent @entity715 ). CONCLUSIONS: In our experience with axillosubclavian @entity1317 , ER was associated with improved mortality and lower complication rates. @entity1 follow-up demonstrates an acceptable reintervention rate after ER. Further multicenter prospective evaluation is warranted to determine long-term outcomes.

Outcome comparison between open and endovascular management of axillosubclavian XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'Patient'] @entity295 :: ('MESH:D018805', 'Disease') :: ['sepsis'] @entity772 :: ('MESH:D003128', 'Disease') :: ['Coma'] @entity1317 :: ('MESH:D057772', 'Disease') :: ['arterial injuries'] @entity715 :: ('MESH:D013927', 'Disease') :: ['thrombosis'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity1317 :: (MESH:D057772,Disease) :: ['arterial injuries']
