Current management of infrarenal abdominal aortic aneurysms

Since the concept of endovascular aneurysm repair (EVAR) was introduced more than 15 years ago, many technological advances and multiple generations of aortic stent-graft devices have been used to manage infrarenal abdominal aortic aneurysms. In this rapidly changing environment, the determination of the optimal management of patients with aneurysmal disease can be difficult. In this article, the current management of infrarenal abdominal aortic aneurysms is outlined. Consistent data revealing short-term advantages in morbidity and mortality make EVAR a very appealing option for practitioners and patients. However, mid- and long-term data proving an all-cause mortality benefit are lacking. Open repair has proven durability, and should be strongly considered in younger and lower-risk patients.