Current modalities for abdominal aortic aneurysm repair: Implications for nurses

Area of Science:

• Vascular Surgery
• Aortic Aneurysm Disease
• Clinical Trial Analysis

Background:

• Abdominal aortic aneurysms (AAAs) affect over 1 million Americans, with rupture posing a high mortality risk.
• Elective repair is preferred to prevent rupture, with open and endovascular repair as primary methods.
• Limited comparative data exists for open versus endovascular AAA repair outcomes.

Purpose of the Study:

• To systematically review recent clinical trials comparing open and endovascular AAA repair.
• To identify and contrast short-term and long-term clinical outcomes of both repair methods.

Main Methods:

• Systematic review of prospective, controlled trials.
• Literature search conducted across PubMed, Ovid, and Scopus databases.
• Inclusion of studies published within the last 5 years.

Main Results:

• Four relevant studies were identified.
• Endovascular repair demonstrated a perioperative advantage.
• This short-term benefit was not sustained in long-term follow-up.

Conclusions:

• Both open and endovascular repair strategies have distinct risk profiles.
• Patient age and comorbidities are critical factors influencing repair outcomes.
• Awareness of individualized risks is essential for optimal patient care in AAA treatment.