Endovascular Versus Open Abdominal Aortic Aneurysm: Best Decision.

Détails

ID Serval
serval:BIB_848C3758897A
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Endovascular Versus Open Abdominal Aortic Aneurysm: Best Decision.
Périodique
Current Pharmaceutical Design
Auteur(s)
Déglise S., Delay C., Saucy F., Lejay A., Dubuis C., Briner L., Chakfé N., Corpataux J.M.
ISSN
1873-4286 (Electronic)
ISSN-L
1381-6128
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
21
Numéro
28
Pages
4076-4083
Langue
anglais
Notes
Publication types: Comparative Study ; Journal Article ; Review
Publication Status: ppublish
Résumé
Since the first implantation of an endograft in 1991, endovascular aneurysm repair (EVAR) rapidly gained recognition. Historical trials showed lower early mortality rates but these results were not maintained beyond 4 years. Despite newer-generation devices, higher rates of reintervention are associated with EVAR during follow-up. Therefore, the best therapeutic decision relies on many parameters that the physician has to take in consideration. Patient's preferences and characteristics are important, especially age and life expectancy besides health status. Aneurysmal anatomical conditions remain probably the most predictive factor that should be carefully evaluated to offer the best treatment. Unfavorable anatomy has been observed to be associated with more complications especially endoleak, leading to more re-interventions and higher risk of late mortality. Nevertheless, technological advances have made surgeons move forward beyond the set barriers. Thus, more endografts are implanted outside the instructions for use despite excellent results after open repair especially in low-risk patients. When debating about AAA repair, some other crucial points should be analysed. It has been shown that strict surveillance is mandatory after EVAR to offer durable results and prevent late rupture. Such program is associated with additional costs and with increased risk of radiation. Moreover, a risk of loss of renal function exists when repetitive imaging and secondary procedures are required. The aim of this article is to review the data associated with abdominal aortic aneurysm and its treatment in order to establish selection criteria to decide between open or endovascular repair.
Mots-clé
Age Factors, Aortic Aneurysm, Abdominal/physiopathology, Aortic Aneurysm, Abdominal/surgery, Endoleak/epidemiology, Endovascular Procedures/methods, Health Status, Humans, Life Expectancy, Patient Preference, Postoperative Complications/epidemiology
Pubmed
Web of science
Création de la notice
19/10/2015 14:05
Dernière modification de la notice
03/03/2018 18:55
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