title: [Endovascular versus conventional vascular surgery - old-fashioned thinking? Part 1: interventions on the aorta].
abstract: Endovascular therapy has widely replaced conventional open vascular surgical reconstruction. For this reason both techniques were widely considered to be competing approaches. Evidence-based data from randomized prospective trials, meta-analyses and clinical registries, however, demonstrated that both techniques should be used to complement each other. It became increasingly more evident that the use of either procedure depends on the underlying disease and the anatomical conditions, whereby a combination of both (hybrid approach) may be the preferred option in certain situations. This review focuses on the treatment of complicated acute type B aortic dissection, descending thoracic aortic aneurysms, thoracoabdominal aortic aneurysms as well as asymptomatic and ruptured abdominal aortic aneurysms.
authors.affiliation: Klinik und Poliklinik für Gefäßmedizin, Universitäres Herzzentrum Hamburg, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland. debus@uke.de.
authors.forename: E S
authors.initials: ES
authors.lastname: Debus
authors.affiliation: Klinik und Poliklinik für Gefäßmedizin, Universitäres Herzzentrum Hamburg, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Kölbel
authors.affiliation: Klinik und Poliklinik für Gefäßmedizin, Universitäres Herzzentrum Hamburg, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland.
authors.forename: D
authors.initials: D
authors.lastname: Manzoni
authors.affiliation: Klinik und Poliklinik für Gefäßmedizin, Universitäres Herzzentrum Hamburg, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland.
authors.forename: C-A
authors.initials: CA
authors.lastname: Behrendt
authors.affiliation: Klinik und Poliklinik für Gefäßmedizin, Universitäres Herzzentrum Hamburg, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland.
authors.forename: F
authors.initials: F
authors.lastname: Heidemann
authors.affiliation: , In den Grüben 144, 84489, Burghausen, Deutschland.
authors.forename: R T
authors.initials: RT
authors.lastname: Grundmann
mesh_terms: D000784:Aortic Dissection / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D001018:Aortic Diseases / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery; D004059:Diffusion of Innovation; D057510:Endovascular Procedures / Q000639:trends*; D019983:Guideline Adherence; D006801:Humans; D010043:Outcome and Process Assessment, Health Care; D011379:Prognosis; D014656:Vascular Surgical Procedures / Q000639:trends*
keywords: Abdominal aortic aneurysm; Aortic dissection; Endovascular repair; Open repair; Thoracic aortic aneurysm