[Preoperative risk factors as deciding criteria in surgical treatment strategy of infrarenal aortic aneurysm].
Significant risk factors of operative therapy in patients with infrarenal aortic aneurysms (AAA) were determined. Best treatment strategy (open surgical repair, transluminal endovascular aneurysm management (TEAM) or conservative treatment) was selected on the base of evaluated risk factors, tendency of rupture and life expectancy. Of the typical risk factors impaired renal and/or lung function showed a significant influence on hospital mortality. In patients without these significant risk factors open surgical repair leads to good clinical results. Acceptable postoperative mortality rates after elective exclusion of an AAA with average size in patients presenting significant comorbidities can only be achieved using TEAM. If TEAM can not be performed, open surgery is only justified in the case of very large AAA diameter.
Teufelsbauer
H
H
Klinische Abteilung für Gefässchirurgie, Universität Wien-AKH, Währinger Gürtel 18-20, 1090 Wien, Osterreich.
Prusa
A
A
Nanobachvili
J
J
Hölzenbein
T
T
Kretschmer
G
G
Huk
I
I
Polterauer
P
P
D000368:Aged; D000800:Angioplasty, Balloon; D017544:Aortic Aneurysm, Abdominal / Q000401:mortality / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000401:mortality; D018570:Risk Assessment; D015607:Stents; D015996:Survival Rate