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Abdominal aortic aneurysms: results of elective surgery 

Abdominal aortic aneurysms: results of elective surgery
Chapter:
Abdominal aortic aneurysms: results of elective surgery
Author(s):

Alan Karthikesalingam

and Peter Holt

DOI:
10.1093/med/9780199658220.003.0051
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date: 21 September 2019

The results of abdominal aortic aneurysm repair are dependent on a number of factors, including whether open or endovascular repair is selected, as well as patient-specific factors such as age, gender, aneurysm morphology, and comorbid state. Traditional surgery via open aneurysm repair carries significant risks in terms of perioperative mortality and morbidity. Endovascular aneurysm repair (EVAR), conversely, can be delivered at very low levels of perioperative morbidity and mortality, but with concerns over long-term durability. Reinterventions are relatively common after EVAR, although they are often under-reported after open repair. Endovascular-specific complications include endoleak, device migration, limb kinking, or occlusion. EVAR is now performed more frequently than open repair in the USA and Europe; studies have shown that it is preferred to open aneurysm repair by patients. This chapter reviews the evidence and results of open repair and EVAR, and considers determinants of outcome.

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