Surgical Versus Endovascular Aortic Aneurysm Repair: Evidence to Guide the Optimal Approach for the Individual Patient

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• 作者：Theodore Hart ; Ross Milner
• 关键词：AAA ; EVAR ; Juxtrarenal aneurysm ; FEVAR ; Inflammatory aneurysm ; Ruptured aneurysm
• 刊名：Current Atherosclerosis Reports
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：18
• 期：12
• 全文大小：314 KB
• 刊物主题：Angiology; Cardiology;
• 出版者：Springer US
• ISSN：1534-6242
• 卷排序：18

文摘

The choice between an open surgical and an endovascular approach for abdominal aortic aneurysm (AAA) repair remains an individualized clinical decision. As the technology and applications of endovascular aortic aneurysm repair (EVAR) continue to evolve, so does the literature investigating its outcomes. Multiple high-quality, randomized controlled trials comparing EVAR to open surgical repair (OSR) have now been published with long-term follow-up. Experience with ruptured aneurysms and the use of complex endografts is growing as well. This review is an up-to-date compilation of pertinent clinical trials for practitioners placed in the context of individual patient considerations to guide the choice of an optimal approach to the management of AAAs.