Normalized therapy for abdominal aortic aneurysm:Controversy and consensus
LIU Chang-jian
LIU Zhao
Abstract：The epidemiology research in the past 30 years has shown that the prevalence of abdominal aortic aneurysm (AAA) has increased 7 times.The main risk factors for AAA are male sex,smoking history,age over 65,coronary artery disease,hypertension,previous myocardial infarction,peripheral artery disease and a family history of AAA.Imaging screening tests offered to susceptible people can help to decrease mortality from AAA.For asymptomatic patients of AAA with a diameter of less than 5cm,regular follow-up should be taken to determine the timing of the operation according to the size,growth rate and clinical symptoms of aneurysms.The two main treatments for AAA are open and endovascular repair,with no significant mortality difference between the two.However,EVAR has been preferred for minimally invasion and faster recovery.The clinical studies have shown that medical therapy had limited effect.The treatment of ruptured AAA is challenging due to its emergency and high perioperative mortality.The key factors for the survival of patients with ruptured AAA are to decrease the time from onset to operation,and to have a team with rich experience in both open surgical and endovascular practice.
Keywords：abdominal aortic aneurysmscreeningopen operationendovascular aortic repair
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 1345-1349 )