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Endovascular aortic repair is the treatment of choice for most patients with abdominal aortic aneurysms, though practice varies and future research is needed.
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This review summarizes current evidence and practice for endovascular aortic repair in abdominal aortic aneurysms, highlighting future research needs.
During the last two decades, endovascular technology has revolutionized the management of patients with abdominal aortic aneurysm (AAA). Today, endovascular aortic repair (EVAR) is the treatment of choice for the majority of patients with an AAA. Randomized controlled trials provide robust evidence for the indication of AAA repair and the rationale for the use of EVAR in selected patients. However, despite that, practice varies and several areas need further elucidation. Important future challenges and areas of research include the role of medical therapy in AAA, whether the indication for repair should be any different in women and in the elderly, and long-term follow-up of patients undergoing complex EVAR with adjuncts, both for elective treatment and for ruptured AAA. Continuous rapid technical and clinical development is to be expected. In this paper, we review the current practice and evidence of stenting in AAA.
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Zvereva et al. (2017) conducted a review in abdominal aortic aneurysm (AAA). endovascular aortic repair (EVAR) was evaluated. Endovascular aortic repair is the treatment of choice for most patients with abdominal aortic aneurysms, though practice varies and future research is needed.
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