Key result
Dilatation of the proximal aortic neck occurs early after both endovascular and open abdominal aortic aneurysm repair, suggesting it is related to the natural progression of the aneurysmal disease.
Why the study?
Does endovascular or open repair affect proximal aortic neck progression in patients with abdominal aortic aneurysm?
Does endovascular or open repair affect proximal aortic neck progression in patients with abdominal aortic aneurysm?
Proximal aortic neck dilatation is a common phenomenon after both EVAR and open AAA repair, highlighting the need for standardized reporting to better understand its impact on long-term graft durability.
Proximal neck dilatation after AAA repair warrants standardized surveillance regardless of approach; leaves open effects on long-term graft durability.
Several risk factors including short or highly angulated proximal aortic neck have been associated with long-term outcomes after endovascular or open abdominal aortic aneurysm (AAA) repair. However, research data have emerged recently concerning the behavior of proximal aortic neck, and several authors have tried to evaluate this behavior after endovascular or open repair. Additionally, computed tomography angiography (CTA) remains the golden standard for detecting and observing the morphology of an AAA, both before and after treatment. Moreover, the question of whether the proximal neck's progression independently affects postoperative morbidity and reintervention risks still remains. Therefore, this focused review aims to present all relevant data on the behavior of an AAAs neck, based on CTA imaging before and after repair, in order to produce useful conclusions for future clinical practice.
No takes yet. Share an insight, caveat, or question.
Galyfos et al. (2017) conducted a review in Abdominal Aortic Aneurysm. Endovascular and open AAA repair was evaluated. Dilatation of the proximal aortic neck occurs early after both endovascular and open abdominal aortic aneurysm repair, suggesting it is related to the natural progression of the aneurysmal disease.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: