Infrarenal Abdominal Aortic Aneurysm. [Review]
Infrarenal Abdominal Aortic Aneurysm. [Review]
- 2023
Abdominal aortic aneurysms are found in up to 6% of men and 1.7% of women over the age of 65 years and are usually asymptomatic. The natural history of aortic aneurysms is continued dilation leading to rupture, which is associated with an overall 80% mortality. Of the patients with ruptured aneurysms that undergo intervention, half will not survive their hospitalization. Reduction in aneurysm mortality is therefore achieved by prophylactic repair during the asymptomatic period. On a population-based level, this is supported by abdominal aortic aneurysm screening programs. Approximately 60% of abdominal aortic aneurysms are confined to the infrarenal portion of the aorta and are amenable to repair with off-the-shelf endovascular devices. Endovascular techniques have now replaced open surgery as the primary modality for aneurysm repair. Copyright © 2023 Elsevier Inc. All rights reserved.
English
0039-6109
10.1016/j.suc.2023.05.001 [doi] S0039-6109(23)00069-5 [pii]
*Aortic Aneurysm, Abdominal
*Aortic Rupture
*Blood Vessel Prosthesis Implantation
*Endovascular Procedures
Aged
Aorta
Aortic Aneurysm, Abdominal/di [Diagnosis]
Aortic Aneurysm, Abdominal/su [Surgery]
Aortic Rupture/di [Diagnosis]
Aortic Rupture/et [Etiology]
Aortic Rupture/su [Surgery]
Blood Vessel Prosthesis Implantation/mt [Methods]
Female
Humans
Male
Risk Factors
Treatment Outcome--Automated
MedStar Washington Hospital Center
Surgery/Vascular Surgery
Vascular Surgery Integrated Residency
Journal Article
Review
Abdominal aortic aneurysms are found in up to 6% of men and 1.7% of women over the age of 65 years and are usually asymptomatic. The natural history of aortic aneurysms is continued dilation leading to rupture, which is associated with an overall 80% mortality. Of the patients with ruptured aneurysms that undergo intervention, half will not survive their hospitalization. Reduction in aneurysm mortality is therefore achieved by prophylactic repair during the asymptomatic period. On a population-based level, this is supported by abdominal aortic aneurysm screening programs. Approximately 60% of abdominal aortic aneurysms are confined to the infrarenal portion of the aorta and are amenable to repair with off-the-shelf endovascular devices. Endovascular techniques have now replaced open surgery as the primary modality for aneurysm repair. Copyright © 2023 Elsevier Inc. All rights reserved.
English
0039-6109
10.1016/j.suc.2023.05.001 [doi] S0039-6109(23)00069-5 [pii]
*Aortic Aneurysm, Abdominal
*Aortic Rupture
*Blood Vessel Prosthesis Implantation
*Endovascular Procedures
Aged
Aorta
Aortic Aneurysm, Abdominal/di [Diagnosis]
Aortic Aneurysm, Abdominal/su [Surgery]
Aortic Rupture/di [Diagnosis]
Aortic Rupture/et [Etiology]
Aortic Rupture/su [Surgery]
Blood Vessel Prosthesis Implantation/mt [Methods]
Female
Humans
Male
Risk Factors
Treatment Outcome--Automated
MedStar Washington Hospital Center
Surgery/Vascular Surgery
Vascular Surgery Integrated Residency
Journal Article
Review