title: Surgical management of abdominal aortic aneurysms: a lost art?
abstract: Endovascular repair of abdominal aneurysms has become the dominant treatment modality for infrarenal aneurysms. Initial reports showed a constant number of open repairs although there was a shift toward complicated juxtra-renal aneurysms. In the past several years, more aggressive endoluminal approaches and the introduction of fenestrated grafts have appeared to dilute the open aneurysm operating experience. Coupled with work hours restrictions and shorter training paradigms, opportunities for training residents in open repair of abdominal aneurysms are decreasing. We envision that future treatment of complicated aortic aneurysms will likely entail advanced fellowship training in open repair and referral of complicated abdominal aneurysms to tertiary care centers.
authors.affiliation: Section of Vascular Surgery, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
authors.forename: Abdulhameed
authors.initials: A
authors.lastname: Aziz
authors.forename: Gregorio A
authors.initials: GA
authors.lastname: Sicard
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D002983:Clinical Competence; D003479:Curriculum; D004503:Education, Medical, Graduate; D057510:Endovascular Procedures / Q000009:adverse effects / Q000193:education / Q000295:instrumentation / Q000639:trends; D006801:Humans; D007396:Internship and Residency; D059032:Learning Curve; D010561:Personnel Staffing and Scheduling; D011474:Prosthesis Design; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000193:education / Q000295:instrumentation / Q000639:trends; D016526:Workload
keywords: AAA; Aneurysms; Aorta; EVAR; Fellowship; Residency; Training; abdominal aortic aneurysms; endovascular abdominal aneurysm repair