Therapy of abdominal aortic aneurysms: Surgical treatment and its impact in the era of endovascular aneurysm repair

被引：0
作者：
Behrendt C.-A. [1 ,2 ]
Heidemann F. [1 ,2 ]
Rieß H.C. [1 ,2 ]
Kölbel T. [1 ,2 ]
Debus E.S. [1 ,2 ]
机构：
[1] Klinik und Poliklinik für Gefäßmedizin, Universitäres Herzzentrum Hamburg, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, Hamburg
[2] Deutsches Aortenzentrum Hamburg, Hamburg
来源：
Zeitschrift für Herz-,Thorax- und Gefäßchirurgie | 2016年 / 30卷 / 2期
关键词：
Aortic rupture; Endovascular techniques; Mortality; Open surgery; Postoperative complications;
D O I：
10.1007/s00398-015-0042-5
中图分类号：
学科分类号：
摘要：
Intact (iAAA) and ruptured (rAAA) abdominal aortic aneurysms are complex diseases, which according to recent data are increasingly being treated by endovascular aortic repair (EVAR, iAAA 73 % versus rAAA 35 %). Constant improvement of commonly used endovascular techniques increases the feasibility of even challenging AAA pathologies. Various meta-analyses, systematic reviews and randomized controlled trials have examined the short-term and long-term outcome of EVAR versus open abdominal aortic repair (OAR). In contrast to OAR, EVAR seems to be beneficial in terms of 30-day mortality; nevertheless, OAR still has an accepted importance in the therapy of AAA. This article provides an overview on current treatment options of AAA regarding the correct individual indications in consideration of recent data on short-term and long-term outcome of EVAR. © 2015, Springer-Verlag Berlin Heidelberg.
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页码：82 / 89
页数：7
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