Endovascular treatment of abdominal aortic aneurysm

Abstract

Endoleak is a potentially serious complication of the endovascular technique and occurs in a significant proportion of patients. It is still not possible to judge whether the presence of an endoleak alone signifies failure of treatment, and the long-term durability of prosthetic covered stents is unknown. However, endovascular repair does appear to confer a degree of protection from rupture although patients must be advised of the need for life-long imaging surveillance and, perhaps, further intervention.

Abdominal Aortic Aneurysm Presenting as Back Pain to a Chiropractic Clinic: A Case Report

“…Endovascular repair has several theoretical advantages over conventional surgery, and early evidence suggests that endovascular surgery is better for patients with comorbidities, who would be at high risk for conventional surgery. 20 We refer readers to relevant references for detailed information about risk factors, surgical management, and complications of elective surgical repair of the AAA, as these topics exceed the scope of this article. 1,6,7,12,20 Pharmacologic treatment aiming to delay or even prevent expansion of a small asymptomatic AAA is a new treatment option.…”

“…20 We refer readers to relevant references for detailed information about risk factors, surgical management, and complications of elective surgical repair of the AAA, as these topics exceed the scope of this article. 1,6,7,12,20 Pharmacologic treatment aiming to delay or even prevent expansion of a small asymptomatic AAA is a new treatment option. Drug therapy with 60% efficacy, good compliance, and tolerability lengthens the interval between diagnosis and need for surgery for up to 5 years in patients with AAA sized less than 4 cm.…”

Endovascular Abdominal Aortic Aneurysmal Repair: A Korean Perspective

“…While one study reported three to six years of sustained benefits, another study raised concerns regarding its accepted durability. In addition, other studies [10][11][12][13][14] discussed concerns regarding the increased risks of possible graft failure, that would necessitate re-intervention or surgical conversion in the later phase. Endovascular Aneurysm Repair (EVAR) trial 1, that included patients who could endure both surgery and EVAR, reported patients significantly lower 30-day mortality rates, but an increase of post-operative re-intervention rates with EVAR.…”

Treatment of Ruptured Abdominal Aortic Aneurysms

“…However, evidence for a symptomatic AAA representing pending rupture is lacking (Scott et al, 2005). When rupture occurs, the mortality rate is as high as 80% (Semmens et al, 2000;Veith et al, 2003;Gorham et al, 2004). Forty percent of the patients with a ruptured AAA do not reach the hospital alive (Semmens et al, 2000) and in patients reaching the hospital and undergoing surgery, the mortality rate is approximately 50% (Sayers et al, 1997).…”