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Vascular Surgery pp 343–353Cite as

Technically Challenging Cases for Endovascular Repair of Aortic Aneurysms

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Part of the book series: European Manual of Medicine ((EUROMANUAL))

Abstract

Aortic aneurysms and treatment thereof continue to challenge the vascular surgeon. The natural history of aneurysms has been well documented, and the indica- tion for treatment extensively discussed [56]. The goal of treatment is to prevent aneurysm rupture and distal embolization. It is well known that aneurysm size is the most important criterion determining the main risk, namely rupture. Arterial hypertension is the second most important parameter that influences this risk, according to Laplace’s law (tension on the wall is produced by the product of pressure and radius). As experience has accu- mulated, the durability of open surgical therapy, which was introduced over 50 years ago, has also been well doc- umented [29]. In contrast, there are very few data on the long-term durability of endovascular aneurysm repair (EVAR), which was introduced as a new approach about 15 years ago [45].

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Author information

Authors and Affiliations

  1. Papageorgiou General Hospital, Thessaloniki, Greece

    Kiriakos Ktenidis MD, PhD, EBSQ-VASC. (Ass.Prof. Dr. K. Ktenidis)

  2. 1st Department of Surgery-Vascular Surgery, Aristotle University of Thessaloniki, Thessaloniki, Greece

    Kiriakos Ktenidis MD, PhD, EBSQ-VASC. (Ass.Prof. Dr. K. Ktenidis)

  3. Department of Vascular Surgery, Krankenhaus Porz am Rhein, Porz, Germany

    Stefan Schulte MD, PhD

  4. Papageorgiou General Hospital, Department of Vascular Surgery, Aristotle University of Thessaloniki, Thessaloniki, Greece

    Dimitrios Kiskinis MD, PhD

  5. Department of Vascular and Endovascular Surgery, Krankenhaus Porz am Rhein, Porz, Germany

    Svante Horsch MD

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  1. Kiriakos Ktenidis MD, PhD, EBSQ-VASC.
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  2. Stefan Schulte MD, PhD
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  3. Dimitrios Kiskinis MD, PhD
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  4. Svante Horsch MD
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Editor information

Editors and Affiliations

  1. Department of Vascular Surgery Athens University Medical School, Attikon University Hospital, Athens, Greece

    Christos D. Liapis MD, FACS, FRCS

  2. Division of Vascular Surgery, Evangelisches Krankenhaus, Mülheim, Germany

    Klaus Balzer MD

  3. Department of Vascular Surgery, University of Rome “La Sapienza”, Rome, Italy

    Fabrizio Benedetti-Valentini MD

  4. Department of Vascular Surgery Hospital Santa Maria and Faculty of Medicine, Director Instituto Cardiovascular de Lisboa, Lisbon, Portugal

    José Fernandes e Fernandes MD, PhD (Chief of Service) (Chief of Service)

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Ktenidis, K., Schulte, S., Kiskinis, D., Horsch, S. (2007). Technically Challenging Cases for Endovascular Repair of Aortic Aneurysms. In: Liapis, C.D., Balzer, K., Benedetti-Valentini, F., Fernandes e Fernandes, J. (eds) Vascular Surgery. European Manual of Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-30956-7_31

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