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July 28, 2023Frontiers in Cardiovascular MedicineOpen Access

Endovascular repair for large AAAs carries up to ~30% risk of postoperative complications.

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Why the study?

Despite progress, established methods to decelerate abdominal aortic aneurysm dilation are lacking, exact developmental pathways remain unclear, and concerns have emerged regarding surgical postoperative complications.

Design

Review

Key result

Current management of abdominal aortic aneurysms relies on watchful waiting for small aneurysms and surgical or endovascular repair for larger ones, though endovascular repair carries a 16-30% risk of postoperative complications.

Authors

JLJinping LinSCShu-Wei ChenYYYuanyuan Yao

Discussion

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Overview

High EVAR complication rates in AAA warrant clinical caution; leaves open need for safer repair strategies.

Structured PICO

P
Population
Patients with abdominal aortic aneurysms (AAAs)
I
Intervention
Diagnosis and treatment strategies including watchful waiting, lifestyle adjustment, open repair, and endovascular aneurysm repair

This review summarizes the current diagnostic and therapeutic strategies for abdominal aortic aneurysms, highlighting ongoing challenges with endovascular repair complications.

Limitations

  • Lack of established methods to effectively decelerate the dilation of aneurysms
  • The exact pathway of development remains unclear
  • There are currently no treatments to reverse the occurrence and progression of AAA in humans

Cite This Study

Lin et al. (2023) conducted a review in Abdominal aortic aneurysms. Diagnosis and management of abdominal aortic aneurysms was evaluated. Current management of abdominal aortic aneurysms relies on watchful waiting for small aneurysms and surgical or endovascular repair for larger ones, though endovascular repair carries a 16-30% risk of postoperative complications.

synapsesocial.com/papers/6a0c660dd48675e49423672fhttps://doi.org/10.3389/fcvm.2023.1199804
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