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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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REVIEW  RECENT DEVELOPMENTS IN JUXTARENAL AND AORTO-ILIAC INTERVENTIONS


The Journal of Cardiovascular Surgery 2017 December;58(6):848-53

DOI: 10.23736/S0021-9509.17.10064-9

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Changes in abdominal aortic aneurysm epidemiology

Fredrik LILJA, Anders WANHAINEN, Kevin MANI

Section of Vascular Surgery, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden


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The epidemiology and treatment of abdominal aortic aneurysms (AAA) has changed over the past 30 years. This review aims to give the reader an overview of these changes and current trends in AAA epidemiology, management and outcome. In the past decades there have been three changes in AAA management and epidemiology: 1) introduction of endovascular aortic repair (EVAR); 2) population screening; and 3) a markedly reduced prevalence of the disease. These developments have resulted in an increased incidence of intact AAA-repair and reduced incidence of ruptured AAA-repair. Overall, survival after both intact and ruptured AAA repair has improved, much thanks to the broad introduction of EVAR. Additionally, both elective and rupture repair in the elderly population has increased, with octogenarians constituting >20% of intact AAA repairs performed in several countries. International analyses of vascular registries indicate that important variations remain in AAA management and results. The changes in AAA epidemiology and management have led to a situation where most AAAs today are treated with EVAR electively. The incidence of ruptured AAA-repair continues to decrease. These changes are accompanied by improvements in both short- and long-term survival.


KEY WORDS: Aortic aneurysm, abdominal - Endovascular procedures - Outcome assessment (health care)

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Publication History

Issue published online: September 14, 2017
Article first published online: June 20, 2017
Manuscript accepted: June 19, 2017
Manuscript received: June 6, 2017

Per citare questo articolo

Lilja F, Wanhainen A, Mani K. Changes in abdominal aortic aneurysm epidemiology. J Cardiovasc Surg 2017;58:848-53. DOI: 10.23736/S0021-9509.17.10064-9

Corresponding author e-mail

kevin.mani@surgsci.uu.se