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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
14:58

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

Peripheral arterial aneurysms: open or endovascular surgery?

Irwin V Mohan1, Michael S Stephen

  • 1Westmead Hospital, University of Sydney Medical School, Sydney, NSW 2145, Australia. irwin.mohan@doctors.org.uk

Progress in Cardiovascular Diseases
|September 3, 2013
PubMed
Summary
This summary is machine-generated.

Peripheral arterial aneurysms (PAAs) are rare, with limited evidence for open versus endovascular repair. Treatment decisions for PAAs depend on patient factors and aneurysm anatomy, with a trend towards endovascular approaches.

Keywords:
AAABypassCACAACFACHACHAACTCTAECAAEPAREVAREndovascular Aneurysm Repair TrialEndovascular surgeryFAAFDSGDAGDAAHAAICAMRAMRIManagement optionsOROpen surgeryPAAPDAPDAAPFAPFAAPTFEPeripheral arterial aneurysmsRAARecommendationsSAASCASCAASESFASFAASMASMAAStentsTIATOSUSVAAabdominal aortic aneurysmcoeliac axis/arterycoeliac axis/artery aneurysmcommon femoral arterycommon hepatic arterycommon hepatic artery aneurysmcomputerized tomographic angiographycomputerized tomographyendovascular popliteal aneurysm repairexpanded polytetrafluoroethyleneextracranial carotid artery aneurysmfemoral artery aneurysmflow diverting stentgastroduodenal arterygastroduodenal artery aneurysmhepatic artery aneurysminternal carotid arterymagnetic resonance angiographymagnetic resonance imagingodds ratiopancreaticoduodenal arterypancreaticoduodenal artery aneurysmpopliteal artery aneurysmprofunda femoris arteryprofunda femoris artery aneurysmrenal artery aneurysmsplenic artery aneurysmstandard errorsubclavian arterysubclavian artery aneurysmsuperficial femoral arterysuperficial femoral artery aneurysmsuperior mesenteric arterysuperior mesenteric artery aneurysmthoracic outlet syndrometransient ischaemic attackultrasoundvisceral artery aneurysm

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Last Updated: May 8, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
14:58

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

Area of Science:

  • Vascular Surgery
  • Interventional Radiology

Background:

  • Peripheral arterial aneurysms (PAAs) are uncommon vascular conditions.
  • Evidence guiding treatment choices between open and endovascular interventions is often limited to case reports and small series.
  • The advancement of endovascular technologies has expanded management options for PAAs.

Purpose of the Study:

  • To review the management strategies for rare peripheral arterial aneurysms.
  • To discuss the factors influencing the choice between open and endovascular approaches for PAAs.
  • To highlight the evolving role of endovascular techniques in treating PAAs.

Main Methods:

  • Review of current literature and clinical practice regarding PAAs.
  • Analysis of patient risk factors and aneurysm anatomy in treatment selection.
  • Discussion of the comparative effectiveness of open and endovascular interventions for specific PAA locations.

Main Results:

  • No Level A evidence exists for most PAA treatment decisions.
  • Specific PAA locations (e.g., femoral, subclavian) may favor an open-first approach.
  • Other locations (e.g., renal, splenic) may benefit from an endovascular-first approach.
  • The authors' practice employs an endovascular-first approach for PAAs.

Conclusions:

  • Treatment for PAAs should be individualized based on patient risk and aneurysm anatomy.
  • Both open and endovascular therapies are essential in managing PAAs.
  • A combined approach enhances capabilities in modern surgical management of rare aneurysms.