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Impact of the COVID-19 Pandemic on Complex Aortic Aneurysm Surgery

Mickael Palmier1,2, Côme Bosse1, Petroula Nana1

  • 1Aortic Center, Marie Lannelongue Hospital, Groupe Hospitalier Paris Saint Joseph, Université Paris Saclay, Paris, France.

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
|November 19, 2023
PubMed

Insights

The COVID-19 pandemic reduced open surgical repair (OSR) for complex aortic aneurysms but not endovascular repair (ER). ER outcomes remained stable with shorter hospital stays, while OSR saw reduced activity without outcome changes.

Area of Science:

  • Vascular Surgery
  • Aortic Aneurysm Repair
  • Epidemiology

Background:

  • The COVID-19 pandemic significantly impacted healthcare systems globally.
  • This study evaluates the pandemic's effect on complex aortic aneurysm repair volumes and outcomes.
  • Comparing open surgical repair (OSR) and endovascular repair (ER) before and during the pandemic.

Discussion:

  • The pandemic did not decrease endovascular repair (ER) volumes for complex aortic aneurysms (cAAs).
  • Open surgical repair (OSR) case load significantly decreased during the pandemic.
  • Modified clinical practices aimed to shorten hospitalization for ER without compromising outcomes.

Key Insights:

  • Endovascular repair (ER) case volumes remained stable during the COVID-19 pandemic.
  • Open surgical repair (OSR) experienced a significant reduction in patient numbers.
  • For ER, early mortality and morbidity were comparable pre- and during the pandemic.
  • Hospital and ICU stays decreased significantly for ER patients during the pandemic.

Outlook:

  • Resource pressures during the pandemic led to practice modifications for ER, reducing hospital stays.
  • These modifications were effective for ER but not for OSR, which saw a decline in activity.
  • Further research may explore long-term impacts and sustained changes in complex aortic aneurysm repair strategies.
Abstract

Keywords:
COVID-19F/BEVARaortic aneurysmendovascular repairoutcomes

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