title: Endovascular grafts for abdominal aortic aneurysm.
abstract: During the last two decades, endovascular technology has revolutionized the management of patients with abdominal aortic aneurysm (AAA). Today, endovascular aortic repair (EVAR) is the treatment of choice for the majority of patients with an AAA. Randomized controlled trials provide robust evidence for the indication of AAA repair and the rationale for the use of EVAR in selected patients. However, despite that, practice varies and several areas need further elucidation. Important future challenges and areas of research include the role of medical therapy in AAA, whether the indication for repair should be any different in women and in the elderly, and long-term follow-up of patients undergoing complex EVAR with adjuncts, both for elective treatment and for ruptured AAA. Continuous rapid technical and clinical development is to be expected. In this paper, we review the current practice and evidence of stenting in AAA.
authors.affiliation: Clinic for Cardiovascular Surgery, University Hospital, Zurich, Switzerland Department of Surgery, Stockholm South Hospital, SE-118 83 Stockholm, Sweden joste@live.se.
authors.forename: Johnny
authors.initials: J
authors.lastname: Steuer
authors.affiliation: Clinic for Cardiovascular Surgery, University Hospital, Zurich, Switzerland.
authors.forename: Mario
authors.initials: M
authors.lastname: Lachat
authors.affiliation: Clinic for Cardiovascular Surgery, University Hospital, Zurich, Switzerland Division of Vascular Surgery, Department of Surgery, New York University, New York, NY, USA Division of Vascular Surgery, The Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Frank J
authors.initials: FJ
authors.lastname: Veith
authors.affiliation: Department of Surgical Sciences, Vascular Surgery, Uppsala University, Uppsala, Sweden.
authors.forename: Anders
authors.initials: A
authors.lastname: Wanhainen
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery*; D001019:Aortic Rupture / Q000175:diagnosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000639:trends; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods* / Q000639:trends; D042241:Early Diagnosis; D017558:Elective Surgical Procedures / Q000379:methods / Q000639:trends; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D016032:Randomized Controlled Trials as Topic; D012042:Registries; D012307:Risk Factors
keywords: Aortic aneurysm; Endovascular procedures; Randomized controlled trial; Vascular surgical procedures