Repair of Abdominal Aortic Aneurysms JACC Focus Seminar, Part 1

被引：16

作者：

Hensley, Sara E. ^{[1
]}

Upchurch, Gilbert R. ^{[1
]}

机构：

[1] Univ Florida, Dept Surg, Coll Med, Gainesville, FL 32608 USA

来源：

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY | 2022年 / 80卷 / 08期

关键词：

AAA; abdominal aortic aneurysm; aorta pathology; endovascular aortic repair; EVAR; INDIVIDUAL-PATIENT DATA; ENDOVASCULAR REPAIR; LESS BENEFIT; RUPTURE; MORTALITY; SURVEILLANCE; METAANALYSIS; OUTCOMES; TRIALS; WOMEN;

D O I：

10.1016/j.jacc.2022.04.066

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Abdominal aortic aneurysms (AAAs), defined by an aortic diameter >3 cm, affect >1 million people in the United States. Risk factors for AAA include male sex, family history of AAA, smoking, Caucasian ethnicity, and age. Patients with known AAA should undergo regular surveillance via ultrasonography. Medical management, including smoking cessation and blood pressure management, is recommended for asymptomatic patients who do not meet the threshold for intervention. Repair options include endovascular aortic repair and open surgical repair, with good outcomes in long-term followup. Men with AAA >5.5 cm and women with AAA >5.0 cm in general should undergo elective repair. Medical management, including smoking cessation and blood pressure management, is recommended for asymptomatic patients who do not meet the threshold for intervention. (C) 2022 Published by Elsevier on behalf of the American College of Cardiology Foundation.

引用

页码：821 / 831

页数：11

共 62 条

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