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Porcine Model of Infrarenal Abdominal Aortic Aneurysm
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Current status of the treatment of infrarenal abdominal aortic aneurysms

Linda J Wang1, Anand M Prabhakar2, Christopher J Kwolek1

  • 1Department of Vascular and Endovascular Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Cardiovascular Diagnosis and Therapy
|June 1, 2018
PubMed

Insights

Infrarenal abdominal aortic aneurysms (AAA) are a common cause of death. Endovascular aneurysm repair (EVAR) is the primary treatment due to better short-term outcomes compared to open surgical repair (OSR).

Area of Science:

  • Vascular Surgery
  • Medical Diagnostics
  • Public Health

Background:

  • Aortic aneurysms are a significant cause of mortality in the US, with infrarenal abdominal aortic aneurysms (AAA) being the most prevalent.
  • Ultrasound screening is an effective and cost-efficient method for preventing AAA rupture.
  • Repair is indicated for symptomatic aneurysms or those exceeding 5.4 cm in diameter.

Purpose of the Study:

  • To review the current management strategies for infrarenal abdominal aortic aneurysms (AAA).
  • To discuss the comparative outcomes of open surgical repair (OSR) and endovascular aneurysm repair (EVAR).

Main Methods:

  • Review of current literature on infrarenal AAA management.
  • Comparison of open surgical repair (OSR) and endovascular aneurysm repair (EVAR) outcomes.

Main Results:

  • Endovascular aneurysm repair (EVAR) is currently the preferred treatment for infrarenal AAA.
  • EVAR demonstrates improved short-term morbidity and mortality rates compared to OSR.

Conclusions:

  • EVAR is the primary treatment modality for infrarenal AAA due to favorable short-term results.
  • Continued evaluation of long-term outcomes for both OSR and EVAR is essential.

Keywords:
Endovascular aneurysm repair (EVAR)computed tomography angiography (CTA)treatment of infrarenal abdominal aortic aneurysm (AAA)

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