Appropriate management of the small abdominal aortic aneurysm

There is variation in the management of small aneurysms in the United States today, with some surgeons moving forward with elective repair and others practice ongoing surveillance. Literature exists to suggest that small aneurysms are repaired at a higher rate than should be considered acceptable, a...

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Bibliographic Details
Published in:Seminars in vascular surgery 2024-06, Vol.37 (2), p.218-223
Main Authors: Dansey, Kirsten D., Zettervall, Sara L.
Format: Article
Language:English
Subjects:
Aortic Aneurysm, Abdominal - diagnostic imaging
Aortic Aneurysm, Abdominal - surgery
Appropriate Care
Blood Vessel Prosthesis Implantation - adverse effects
Clinical Decision-Making
Endovascular Procedures - adverse effects
EVAR
Guidelines
Humans
Patient Selection
Practice Guidelines as Topic
Risk Assessment
Risk Factors
Small Aneurysm
Treatment Outcome
Vascular Surgical Procedures - adverse effects
Vascular Surgical Procedures - standards
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Summary:There is variation in the management of small aneurysms in the United States today, with some surgeons moving forward with elective repair and others practice ongoing surveillance. Literature exists to suggest that small aneurysms are repaired at a higher rate than should be considered acceptable, and this represents a deviation from current standards of care. To best understand the optimal care of this patient population, this article aims to evaluate the current management of small aneurysms, review contemporary guidelines and the literature behind them, and assess the appropriateness of surgical management of small aneurysms.
ISSN:0895-7967
1558-4518
1558-4518
DOI:10.1053/j.semvascsurg.2024.05.001