ReviewDeutsches Arzteblatt international2020
Endovascular and Open Repair of Abdominal Aortic Aneurysm.
Review in Deutsches Arzteblatt international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effect of Antiplatelet Agents on Abdominal Aortic Aneurysm Process: A Systematic Review and Meta-Analysis.Reviews in cardiovascular medicine · 2023Pooled it
- Comparison of open and endovascular treatment of infrarenal abdominal aortic aneurysms over 10 years-factors influencing the surgical method.Wiener medizinische Wochenschrift (1946) · 2026Article
- Mid-Term Clinical Outcomes of the Low-Profile Ankura™ Stent Graft System for Endovascular Aneurysm Repair.Journal of clinical medicine · 2026Article
- mScientific reports · 2026Article
- Rare and fatal late-term complication of endovascular aneurysm repair: Migration of the endograft into the duodenum.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Evaluating the feasibility of robotic-assisted abdominal aortic replacement in a porcine model.Journal of robotic surgery · 2026Article
- Transplantation of iPSC-derived vascular wall-like tissue for improved embolization and reconstruction of aneurysm sac in endovascular aneurysm repair.Frontiers in bioengineering and biotechnology · 2026Article
- Modeling of Severity Classification Algorithm Using Abdominal Aortic Aneurysm Computed Tomography Image Segmentation Based on U-Net with Improved Noise Reduction Performance.Sensors (Basel, Switzerland) · 2025Article
- Multifunctional nanoparticles in abdominal aortic aneurysm management: from basic research to clinical transformation.Journal of nanobiotechnology · 2025Review
- Development and validation of a risk prediction model for abdominal aortic aneurysm: a nationwide population-based cohort study.Scientific reports · 2025Article
- Article
- Identifying nexilin as a central gene in neutrophil-driven abdominal aortic aneurysm pathogenesis.Molecular medicine (Cambridge, Mass.) · 2025Article
- The Justification of Open Surgical Repair for an Abdominal Aortic Aneurysm: A Retrospective Comparison of Outcomes of Endovascular Aneurysm Repair and a Brief Review of the Literature.Life (Basel, Switzerland) · 2025Article
- Abdominal Aortic Endograft Implantation Immediately Induces Vascular Stiffness Gradients That May Promote Adverse Aortic Neck Dilatation: Results of A PorcineJournal of endovascular therapy : an official journal of the International Society of Endovascular Specialists · 2025Article
- Case Report: Acute superior mesenteric artery embolism combined with abdominal aortic aneurysm in an elderly female patient.Frontiers in surgery · 2025Article
- Recurrent peripheral ischemia following endovascular repair of an infrarenal aortic aneurysm: what did we miss?Journal of surgical case reports · 2025Article
- Renal Stent Graft Migration Following Chimney Endovascular Aneurysm Repair.Annals of vascular diseases · 2025Article
- Transarterial Coil Embolization for Type II Endoleak After Endovascular Aneurysm Repair (EVAR).Cureus · 2024Article
- Ruptured AAA: bridging the gap between international guidelines and local clinical realities.Langenbeck's archives of surgery · 2024Article
- Analysis of Determinants for Suture-mediated Closure Device Failure During EVAR Procedures.Vascular and endovascular surgery · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis review presents the surgical indications, surgical procedures, and results in the treatment of asymptomatic and ruptured abdominal aortic aneurysms (AAA).
methodsAn updated search of the literature on screening, diagnosis, treatment, and follow-up of AAA, based on the German clinical practice guideline published in 2018.
resultsSurgery is indicated in men with an asymptomatic AAA ≥ 5.5 cm and in women, ≥ 5.0 cm. The indication in men is based on four randomized trials, while in women the data are not conclusive. The majority of patients with AAA (around 80%) meanwhile receive endovascular treatment (endovascular aortic repair, EVAR). Open surgery (open aneurysm repair, OAR) is reserved for patients with longer life expectancy and lower morbidity. The pooled 30-day mortality is 1.16% (95% confidence interval [0.92; 1.39]) following EVAR, 3.27% [2.7; 3.83] after OAR. Women have higher operative/interventional mortality than men (odds ratio 1.67%). The mortality for ruptured AAA is extremely high: around 80% of women and 70% of men die after AAA rupture. Ruptured AAA should, if possible, be treated via the endovascular approach, ideally with the patient under local anesthesia. Treatment at specialized centers guarantees the required expertise and infrastructure. Long-term periodic monitoring by mean of imaging (duplex sonography, plus computed tomography if needed) is essential, particularly following EVAR, to detect and (if appropriate) treat endoleaks, to document stable diameter of the eliminated aneurysmal sac, and to determine whether reintervention is necessary (long-term reintervention rate circa 18%).
conclusionVascular surgery now offers a high degree of safety in the treatment of patients with asymptomatic AAA. Endovascular intervention is preferred.
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