Vol 5, No 2 (2003)
Case reports
Published online: 2003-05-26
Treatment of infrarenal abdominal aortic aneurysms in high-risk patients
Wacław Kuczmik, Damian Ziaja
Chirurgia Polska 2003;5(2):71-82.
Vol 5, No 2 (2003)
Case reports
Published online: 2003-05-26
Abstract
In recent years, an increase in abdominal aortic aneurysm (AAA) diagnosis has been observed, especially in groups of aged people suffering from various concomitant diseases significantly elevating the risk of surgery. Due to this fact, research concerning operative risk evaluation, as well as the safest treatment method, is being conducted. This article describes the advantages and disadvantages of the current treatment methods in infrarenal aortic aneurysm repair. Constant improvement of the existing treatment methods, as well as
research into novel methods of AAA treatment, especially in groups of high-risk patients, can be observed.
Aneurysms of the abdominal aorta present a significant treatment problem, to which standard surgery is still the basic solution, involving aneurysm excision with vascular graft implantation. Other treatment options
are used however, in the therapy of high-risk patients: endovascular treatment or non-resective procedures.
There are some data indicating a smaller amount of complications in patients treated by the use of
endovascular methods, which is why a rapid development in end vascular techniques can be noticed.
Unfortunately, no uniform algorithm of high-risk patient treatment is available.
Abstract
In recent years, an increase in abdominal aortic aneurysm (AAA) diagnosis has been observed, especially in groups of aged people suffering from various concomitant diseases significantly elevating the risk of surgery. Due to this fact, research concerning operative risk evaluation, as well as the safest treatment method, is being conducted. This article describes the advantages and disadvantages of the current treatment methods in infrarenal aortic aneurysm repair. Constant improvement of the existing treatment methods, as well as
research into novel methods of AAA treatment, especially in groups of high-risk patients, can be observed.
Aneurysms of the abdominal aorta present a significant treatment problem, to which standard surgery is still the basic solution, involving aneurysm excision with vascular graft implantation. Other treatment options
are used however, in the therapy of high-risk patients: endovascular treatment or non-resective procedures.
There are some data indicating a smaller amount of complications in patients treated by the use of
endovascular methods, which is why a rapid development in end vascular techniques can be noticed.
Unfortunately, no uniform algorithm of high-risk patient treatment is available.
Keywords
abdominal aortic aneurysm; treatment; high-risk patients
Title
Treatment of infrarenal abdominal aortic aneurysms in high-risk patients
Journal
Chirurgia Polska (Polish Surgery)
Issue
Vol 5, No 2 (2003)
Pages
71-82
Published online
2003-05-26
Page views
1253
Article views/downloads
2901
Bibliographic record
Chirurgia Polska 2003;5(2):71-82.
Keywords
abdominal aortic aneurysm
treatment
high-risk patients
Authors
Wacław Kuczmik
Damian Ziaja
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