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FASCICOLI E ARTICOLI   I PIÙ LETTI   eTOC

ULTIMO FASCICOLOITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY

Rivista di Chirurgia Vascolare ed Endovascolare

Official Journal of the Italian Society of Vascular and Endovascular Surgery
Indexed/Abstracted in: EMBASE, Scopus

Periodicità: Trimestrale

ISSN 1824-4777

Online ISSN 1827-1847

 

Italian Journal of Vascular and Endovascular Surgery 2016 Marzo;23(1):34-45

 REVIEWS

Current practices and challenges in ruptured abdominal aortic aneurysm repair

Yannick W. ‘t MANNETJE 1, 2, Pieter P. BROOS 1, 2, Marc R. van SAMBEEK 1, Philippe W. M. CUYPERS 1, Joep A. TEIJINK 1, 2

1 Department of Vascular Surgery, Catharina Hospital, Eindhoven, The Netherlands; 2 Department of Epidemiology, CAPHRI Research School, Maastricht University, The Netherlands

A ruptured abdominal aortic aneurysm is one of the most fatal medical conditions. Although the introduction of endovascular aneurysm repair has improved outcomes in non-ruptured abdominal aortic aneurysm, the merits appear less distinct in emergency repair. Results of randomized controlled trials and cohort studies are conflicting. An increasing number of patients are being treated through endovascular repair. Centers that adopted an EVAR-first approach show improved results. The use of endovascular technology brings new challenges that need to be addressed. Besides endovascular treatment, there is a need for refining preoperative care, patient selection and postoperative management to improve overall survival.

lingua: Inglese


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