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Contemporary Management of Abdominal Aortic Aneurysms

  • Peripheral Vascular Disease (WS Jones, Section Editor)
  • Published:
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Abstract

Purpose of Review

Abdominal aortic aneurysms (AAA) can carry extremely high mortality rates and most will only present with symptoms with impending rupture. We present an overview of management of this disease process starting with screening, to medical management, surveillance and treatment options currently available, as well as those being studied for future use.

Recent Findings

Screening has been proven to reduce the mortality rate. There still remains a paucity of data to support medical therapies to help mitigate the rate of aneurysm growth and prevent rupture. However, on the topic of repair, there have been advancements in endovascular devices which have broadened the scope of treatment for patients with anatomy not amenable to standard endovascular repair or those who are not suitable candidates for open surgical repair.

Summary

Appropriate surveillance, risk factor modification, and operative repair, when indicated, are the cornerstones of contemporary management of AAAs. Advancements in endovascular technologies have allowed us to treat more patients. Further research is warranted on non-operative medical therapies.

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  1. Duke University, DUMC, Box 3538, Durham, NC, 27710, USA

    Kofi B. Quaye, Neena Pack, Timothy Wilson-Byrne & Chandler A. Long

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Quaye, K.B., Pack, N., Wilson-Byrne, T. et al. Contemporary Management of Abdominal Aortic Aneurysms. Curr Cardiol Rep 24, 431–438 (2022). https://doi.org/10.1007/s11886-022-01662-z

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