Comparison of open surgery and endovascular treatment of asymptomatic juxta/pararenal abdominal aortic aneurysm
Endovascular abdominal aortic aneurysm repair (EVAR) has gained widespread acceptance in the treatment of patients with abdominal aortic aneurysm (AAA). The applicability of EVAR is limited by the absence of adequate infrarenal neck or involvement of the visceral arteries, such as in juxtarenal and...
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| Format: | Article |
| Language: | English |
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University of Belgrade, Medical Faculty
2023-01-01
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| Series: | Medicinski Podmladak |
| Subjects: | |
| Online Access: | https://scindeks-clanci.ceon.rs/data/pdf/0369-1527/2023/0369-15272306001Z.pdf |
| _version_ | 1827290286015905792 |
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| author | Zlatanović Petar Davidović Lazar |
| author_facet | Zlatanović Petar Davidović Lazar |
| author_sort | Zlatanović Petar |
| collection | DOAJ |
| description | Endovascular abdominal aortic aneurysm repair (EVAR) has gained widespread acceptance in the treatment of patients with abdominal aortic aneurysm (AAA). The applicability of EVAR is limited by the absence of adequate infrarenal neck or involvement of the visceral arteries, such as in juxtarenal and pararenal AAA (JAAA/PAAA). Current guidelines recommend that elective management of JAAA/PAAA and the choice of different techniques and different options should be considered based on patient status, anatomy, local routines, team expertise, and patient preference. The main advantage of endovascular techniques lies in the avoidance of aortic cross-clamping and subsequent lower risk of renal dysfunction, less surgical trauma and faster recovery, which may be advantageous for patients at high risk of open surgery. However, recent reports show that JAAA/PAAA patients can be treated in high-volume aortic centers with low short-term mortality and morbidity and good medium and long-term results that are equal in both groups. Low-surgical-risk patients might benefit from open surgery, while high-risk patients might benefit from the endovascular first approach of JAAA/ PAAA. This provides useful information to help clinicians and patients choose between the two procedures when both are available. |
| first_indexed | 2024-04-24T12:13:56Z |
| format | Article |
| id | doaj.art-bb03d30ea186421483237a7fa832223d |
| institution | Directory Open Access Journal |
| issn | 0369-1527 2466-5525 |
| language | English |
| last_indexed | 2024-04-24T12:13:56Z |
| publishDate | 2023-01-01 |
| publisher | University of Belgrade, Medical Faculty |
| record_format | Article |
| series | Medicinski Podmladak |
| spelling | doaj.art-bb03d30ea186421483237a7fa832223d2024-04-08T10:15:45ZengUniversity of Belgrade, Medical FacultyMedicinski Podmladak0369-15272466-55252023-01-017461710.5937/mp74-435580369-15272306001ZComparison of open surgery and endovascular treatment of asymptomatic juxta/pararenal abdominal aortic aneurysmZlatanović Petar0Davidović Lazar1https://orcid.org/0000-0002-0529-2378Univerzitet u Beogradu, Medicinski fakultet, Beograd, SerbiaUniverzitet u Beogradu, Medicinski fakultet, Beograd, SerbiaEndovascular abdominal aortic aneurysm repair (EVAR) has gained widespread acceptance in the treatment of patients with abdominal aortic aneurysm (AAA). The applicability of EVAR is limited by the absence of adequate infrarenal neck or involvement of the visceral arteries, such as in juxtarenal and pararenal AAA (JAAA/PAAA). Current guidelines recommend that elective management of JAAA/PAAA and the choice of different techniques and different options should be considered based on patient status, anatomy, local routines, team expertise, and patient preference. The main advantage of endovascular techniques lies in the avoidance of aortic cross-clamping and subsequent lower risk of renal dysfunction, less surgical trauma and faster recovery, which may be advantageous for patients at high risk of open surgery. However, recent reports show that JAAA/PAAA patients can be treated in high-volume aortic centers with low short-term mortality and morbidity and good medium and long-term results that are equal in both groups. Low-surgical-risk patients might benefit from open surgery, while high-risk patients might benefit from the endovascular first approach of JAAA/ PAAA. This provides useful information to help clinicians and patients choose between the two procedures when both are available.https://scindeks-clanci.ceon.rs/data/pdf/0369-1527/2023/0369-15272306001Z.pdfabdominal aortic aneurysm (aaa)juxtarenal aaa (jaaa)pararenal aaa (paaa)endovascular aneurysm repair (evar)open surgical repair (osr) |
| spellingShingle | Zlatanović Petar Davidović Lazar Comparison of open surgery and endovascular treatment of asymptomatic juxta/pararenal abdominal aortic aneurysm Medicinski Podmladak abdominal aortic aneurysm (aaa) juxtarenal aaa (jaaa) pararenal aaa (paaa) endovascular aneurysm repair (evar) open surgical repair (osr) |
| title | Comparison of open surgery and endovascular treatment of asymptomatic juxta/pararenal abdominal aortic aneurysm |
| title_full | Comparison of open surgery and endovascular treatment of asymptomatic juxta/pararenal abdominal aortic aneurysm |
| title_fullStr | Comparison of open surgery and endovascular treatment of asymptomatic juxta/pararenal abdominal aortic aneurysm |
| title_full_unstemmed | Comparison of open surgery and endovascular treatment of asymptomatic juxta/pararenal abdominal aortic aneurysm |
| title_short | Comparison of open surgery and endovascular treatment of asymptomatic juxta/pararenal abdominal aortic aneurysm |
| title_sort | comparison of open surgery and endovascular treatment of asymptomatic juxta pararenal abdominal aortic aneurysm |
| topic | abdominal aortic aneurysm (aaa) juxtarenal aaa (jaaa) pararenal aaa (paaa) endovascular aneurysm repair (evar) open surgical repair (osr) |
| url | https://scindeks-clanci.ceon.rs/data/pdf/0369-1527/2023/0369-15272306001Z.pdf |
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