Abdominal aortic aneurysm

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Revision as of 11:25, 13 June 2009 by imported>Robert Badgett (→‎Treatment)
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Treatment

Surgical repair

Repair should be considered for symptomatic aneurysms or those larger than 5.5 cm according to a systematic review[1] of randomized controlled trials.[2][3]

Endovascular repair

Endovascular repair has similar long term[4], although improved short term outcomes[5], outcomes as compared to surgery.

  1. Lederle FA, Kane RL, MacDonald R, Wilt TJ. Systematic review: repair of unruptured abdominal aortic aneurysm. Ann Intern Med. 2007 May 15;146(10):735-41. PMID 17502634
  2. Lederle FA, Wilson SE, Johnson GR, Reinke DB, Littooy FN, Acher CW, Ballard DJ, Messina LM, Gordon IL, Chute EP, Krupski WC, Busuttil SJ, Barone GW, Sparks S, Graham LM, Rapp JH, Makaroun MS, Moneta GL, Cambria RA, Makhoul RG, Eton D, Ansel HJ, Freischlag JA, Bandyk D; Aneurysm Detection and Management Veterans Affairs Cooperative Study Group. Immediate repair compared with surveillance of small abdominal aortic aneurysms. N Engl J Med. 2002 May 9;346(19):1437-44. PMID 12000813
  3. (May 2002) "Long-term outcomes of immediate repair compared with surveillance of small abdominal aortic aneurysms". N. Engl. J. Med. 346 (19): 1445–52. DOI:10.1056/NEJMoa013527. PMID 12000814. Research Blogging.
  4. Blankensteijn JD, de Jong SE, Prinssen M, et al. (June 2005). "Two-year outcomes after conventional or endovascular repair of abdominal aortic aneurysms". N. Engl. J. Med. 352 (23): 2398–405. DOI:10.1056/NEJMoa051255. PMID 15944424. Research Blogging.
  5. Prinssen M, Verhoeven EL, Buth J, et al. (October 2004). "A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms". N. Engl. J. Med. 351 (16): 1607–18. DOI:10.1056/NEJMoa042002. PMID 15483279. Research Blogging.