Ruptured abdominal aortic aneurysm: Is endovascular aneurysm repair the answer for everybody?

Research output: Contribution to journalReview article

2 Citations (Scopus)

Abstract

Treatment paradigms for elective repair of asymptomatic abdominal aortic aneurysms (AAA) have evolved during the past 2 decades, with endovascular aneurysm repair as the preferred treatment modality. The patient care strategy for emergent treatment for ruptured AAA is not as straightforward, due in part to surgeon expertise and stent-graft availability at the institution. Although most reports have extrapolated elective endovascular aneurysm repair feasibility data to the ruptured AAA patient and the aneurysm anatomy, these expectations should be interpreted with caution. In the absence of level I evidence, and lack of adequate local hospital resources, endovascular aneurysm repair−first policy might not be feasible for all the patients who present with ruptured AAA.

Original languageEnglish (US)
Pages (from-to)35-40
Number of pages6
JournalSeminars in Vascular Surgery
Volume29
Issue number1-2
DOIs
StatePublished - Mar 1 2016

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Aortic Rupture
Abdominal Aortic Aneurysm
Aneurysm
Stents
Anatomy
Patient Care
Therapeutics
Transplants

All Science Journal Classification (ASJC) codes

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

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title = "Ruptured abdominal aortic aneurysm: Is endovascular aneurysm repair the answer for everybody?",
abstract = "Treatment paradigms for elective repair of asymptomatic abdominal aortic aneurysms (AAA) have evolved during the past 2 decades, with endovascular aneurysm repair as the preferred treatment modality. The patient care strategy for emergent treatment for ruptured AAA is not as straightforward, due in part to surgeon expertise and stent-graft availability at the institution. Although most reports have extrapolated elective endovascular aneurysm repair feasibility data to the ruptured AAA patient and the aneurysm anatomy, these expectations should be interpreted with caution. In the absence of level I evidence, and lack of adequate local hospital resources, endovascular aneurysm repair−first policy might not be feasible for all the patients who present with ruptured AAA.",
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Ruptured abdominal aortic aneurysm : Is endovascular aneurysm repair the answer for everybody? / Aziz, Faisal.

In: Seminars in Vascular Surgery, Vol. 29, No. 1-2, 01.03.2016, p. 35-40.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Ruptured abdominal aortic aneurysm

T2 - Is endovascular aneurysm repair the answer for everybody?

AU - Aziz, Faisal

PY - 2016/3/1

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N2 - Treatment paradigms for elective repair of asymptomatic abdominal aortic aneurysms (AAA) have evolved during the past 2 decades, with endovascular aneurysm repair as the preferred treatment modality. The patient care strategy for emergent treatment for ruptured AAA is not as straightforward, due in part to surgeon expertise and stent-graft availability at the institution. Although most reports have extrapolated elective endovascular aneurysm repair feasibility data to the ruptured AAA patient and the aneurysm anatomy, these expectations should be interpreted with caution. In the absence of level I evidence, and lack of adequate local hospital resources, endovascular aneurysm repair−first policy might not be feasible for all the patients who present with ruptured AAA.

AB - Treatment paradigms for elective repair of asymptomatic abdominal aortic aneurysms (AAA) have evolved during the past 2 decades, with endovascular aneurysm repair as the preferred treatment modality. The patient care strategy for emergent treatment for ruptured AAA is not as straightforward, due in part to surgeon expertise and stent-graft availability at the institution. Although most reports have extrapolated elective endovascular aneurysm repair feasibility data to the ruptured AAA patient and the aneurysm anatomy, these expectations should be interpreted with caution. In the absence of level I evidence, and lack of adequate local hospital resources, endovascular aneurysm repair−first policy might not be feasible for all the patients who present with ruptured AAA.

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