Current status of the treatment of infrarenal abdominal aortic aneurysms

Abstract

Aortic aneurysms are the 13 th leading cause of death in the United States. While aneurysms can occur along the entire length of the aorta, the infrarenal location is the most common. Targeted ultrasound screening has been found to be an effective and economical means of preventing aortic aneurysm rupture.The indication for repair includes either symptomatic aneurysms or aneurysms with a diameter greater than

Incidence and predictors of myocardial and kidney injury following endovascular aortic repair: a retrospective cohort study

“…This is consistent with previous evidence that without systematic troponin monitoring, the majority of myocardial injury following noncardiac surgery would go undetected. 1,2 Considering that myocardial injury surgery significantly increases the risk of 30-day mortality in mixed noncardiac surgery, 2 it is reasonable to believe that the same prognosis applies to patients undergoing EVAR.…”

“…Abdominal aortic aneurysms (AAAs) are the most common arterial aneurysms occurring in the elderly population. Complications related to AAAs were the underlying cause of almost 10,000 deaths in the United States in 2016 and are ranked by the Centre for Disease Control as one of the top 15 causes of mortality in adults aged C 65 yr. [1][2][3][4] Endovascular aneurysm repair (EVAR) is the current intervention of choice for the management of infrarenal aortic aneurysms because of improved short-term morbidity and mortality outcomes compared with open surgical repair, particularly in high-risk patients with multiple comorbidities. 1,3,5,6 Despite technological advances in stent design and implantation, EVAR is still considered an intermediate-to high-risk procedure in terms of cardiovascular and renal complications.…”

Investigation of an Immunogenetic Profile in Patients with Abdominal Aortic Aneurysms and Possible Applications in Screening and Surveillance

“…3 Given the need to predict risk for the disease and to reduce aneurysm-related mortality, the design of effective preventive strategies is paramount. 3,5,6 Abdominal ultrasound screening is recommended by 2018 Society for Vascular Surgery (SVS) clinical practice guidelines in men or women between 65 and 75 years with a history of tobacco use and a strong quality of evidence and in first-degree relatives of patients with AAA at the same age with a low level of recommendation, regardless ethnic background. 7 The Life Line abdominal aortic ultrasound screening performed in the United States during 2003 and 2008 that included more than 3 million men and women from diverse ethnicity and socioeconomic backgrounds indicated that AAA is more likely to occur in men and less common in Hispanics, African Americans, and Asian Americans than individuals from European ancestry; however, the mechanism of ethnic susceptibility is also not well defined.…”

Genetic polymorphism of HLA-DRB1 alleles in Mexican mestizo patients with abdominal aortic aneurysms

“…1) [1, 2]. The most common location of this disease process is the infrarenal aorta where a diameter that is equal or greater than 30 mm measured by Computed Tomography Angiography (CTA) establishes the diagnosis of AAA [1, 2], Aortic aneurysms of atherosclerotic or degenerative etiology are relatively frequent among men over 65-year-old with a reported prevalence ranging from 3 to 7% determined by imaging studies [1–3]; and its most feared complication is the aneurysm rupture with an associated mortality above 80%. In the United States of America (USA), this entity constitutes the 13th leading overall cause of death and according to some authors, this figure is likely to be an underestimation due to approximately 5% of people who die from sudden death may have a rupture AAA as the cause [4].…”