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Management of Abdominal Aortic Aneurysms

Authors:
Andres Schanzer, Gustavo S. Oderich

Abstract

Abdominal aortic aneurysms are defined as having an aortic diameter of more than 3 cm. In the United States, the prevalence is estimated to be 1.4% among individuals aged 50 to 84. Risk factors for developing an abdominal aortic aneurysm include advanced age, a family history of the condition, tobacco use, hypercholesterolemia, and hypertension. The main goal of management is to repair the aneurysm before it ruptures, as rupture can lead to death from hemorrhage. The diameter of the aneurysm is the most significant predictor of rupture. For men with aneurysms between 5.0 and 5.9 cm in diameter, the annual rupture risk is 1%, while it is 14.1% for aneurysms 6 cm or larger. In women, these risks are higher, at 3.9% and 22.3%, respectively

Keywords: abdominal aortic aneurysm endovascular repair open surgical repair rupture risk vascular surgery EVAR aneurysm surveillance repair thresholds
DOI: https://doi.ms/10.00420/ms/8129/SNU4A/WKH | Volume: 385 | Issue: 18 | Views: 0
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