The contrary position to the nonresective treatment for abdominal aortic aneurysm

Extra-anatomic arterial reconstruction with ligation of common iliac arteries and embolization of the aneurysm for the treatment of abdominal aortic aneurysms in high-risk patients

“…Largely on the basis of the morbidities described for nonresective therapy of AAAs, a case against its potential usefulness has been argued. 14 It is our opinion that during the ensuing decade significant technologic advances have been made that make revisiting nonresective therapy worthwhile. Advances in medical management and critical care have allowed us to extend the lives of many people, presenting us with a much sicker patient population.…”

Surgical management of abdominal aortic aneurysm

“…Even though there are advocates for alternative operations such as ligation with axillo-femoral bypass in these patients, these operations have not been proven effective in preventing rupture of the AAAs, although they are associated with a reduced operative mortality. [31][32][33][34] Endovascular grafting of AAAs appears to be a logical and appealing alternative in the treatment of this group of patients but must be considered experimental at this stage and should be assessed against the established treatment of operative repair. [35][36][37][38] For the high-risk patients, the treatment alternatives include watchful waiting (which carries the risk of rupture) and operative repair (with its almost prohibitive operative mortality).…”