Endovascular treatment of abdominal aortic aneurysm

The British Journal of Surgery
T J GorhamS Raptis

Abstract

Endovascular repair of abdominal aortic aneurysm has become widely used. Supporters claim high success rates, few complications and a dramatically reduced hospital stay. However, endoleak, endotension and reports of endoprosthesis rupture are causes of concern. A Medline search was undertaken to identify articles on endovascular repair of abdominal aortic aneurysm. Additional papers were identified by manual scanning of the references from key articles. Endoleak is a potentially serious complication of the endovascular technique and occurs in a significant proportion of patients. It is still not possible to judge whether the presence of an endoleak alone signifies failure of treatment, and the long-term durability of prosthetic covered stents is unknown. However, endovascular repair does appear to confer a degree of protection from rupture although patients must be advised of the need for life-long imaging surveillance and, perhaps, further intervention.

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Citations

Aug 2, 2005·Cardiovascular and Interventional Radiology·Giancarlo MansuetoRoberto Pozzi Mucelli
Jan 18, 2007·Journal of Biomechanical Engineering·Lambert SpeelmanDavid A Vorp
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Jan 6, 2018·Arteriosclerosis, Thrombosis, and Vascular Biology·Peggy RobinetJonathan D Smith
May 27, 2017·The Cochrane Database of Systematic Reviews·Stephen BadgerDenis W Harkin

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