The publication in this issue of the Journal of the Dutch RandomizedEndovascular Aneurysm Management (DREAM) trial1 and the recentpublication of a similar study from the United Kingdom2 providethe first randomized comparisons of the endovascular and opentechniques for elective repair of abdominal aortic aneurysms.Elective repair is undertaken to prevent the rupture of aneurysms,which carries a mortality rate of about 80 percent. More than40,000 procedures are performed each year in the United States.Open surgical repair, in which the aneurysm is opened and agraft sewn into place under direct vision, has proved durablein . . . [Full Text of this Article]
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From the Center for Epidemiological and Clinical Research, Veterans Affairs Medical Center, Minneapolis.
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