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How maximum diameter affects the decision to repair aortic aneurysm
1Department of Surgery, Helsinki University Central Hospital, Finland.
Background And Aims:
The aneurysm size at which operative or endovascular repair is indicated is still a matter of dispute. The aim of the study was to assess how Finnish surgeons decide and what they regard as indication for elective operation.
Material And Methods:
The material was collected with a questionnaire handed out at two surgical meetings. The smallest aneurysm diameters at which operation was indicated according to the opinion of the respondents were recorded.
Results:
41 questionnaires were returned. The diameters showed a great variation although 85% of the surgeons placed their limit for treatment between 40 and 50 mm as maximum diameter. 83% held the opinion that a patient with a high operative risk could still be treated using endoluminal stent grafts.
Conclusions:
There is no consensus among surgeons regarding the size limits for aneurysm surgery, especially in the evolving field of endovascular surgery.
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