Key result
Endovascular repair for intact abdominal aortic aneurysms increased from 45% in 2004 to 83% in 2015, but open surgical repair remains an attractive solution for certain patients.
Why the study?
Despite increases in endovascular repair for abdominal aortic aneurysms, open surgical repair remains an attractive option for specific patient subsets such as young patients or those with hostile anatomy.
Answers are grounded in this paper and cite their sources.
This technical report describes a mini-retroperitoneal approach for open surgical repair of infrarenal aortoiliac aneurysms, an option that remains relevant for specific patient populations despite the rise of endovascular repair.
In recent decades, endovascular repair for intact abdominal aortic aneurysms (AAAs) has increased from 45% of all repairs in 2004 to 83% in 2015.1 However, open surgical repair (OSR) remains an attractive solution for certain patients, including young patients with a long life expectancy due to the lower risk of aneurysm-related interventions, hostile neck anatomy (short, angulated, or wide necks), multiple large accessory renal arteries, or compromised access secondary to iliac occlusive disease.
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Bose et al. (2023) studied infrarenal aortoiliac aneurysm. mini-retroperitoneal approach was evaluated. Endovascular repair for intact abdominal aortic aneurysms increased from 45% in 2004 to 83% in 2015, but open surgical repair remains an attractive solution for certain patients.
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