| Abdominal aortic aneurysm repair in cardiac high risk patients--medication, surgery or stent? | |
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MedLine Citation:
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PMID: 18193370 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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With increasing age of the general population, a higher awareness of the disease, better screening methods and the option of less invasive therapeutical strategies, the incidence of abdominal aortic aneurysms (AAA) is rising steadily. Since AAA is a disease of the elderly patient with generalized atherosclerosis, there is a high coincidence with other vascular morbidities. Especially the presence of coronary artery disease and concomitant left ventricular dysfunction proves many of those patients to be cardiac high risk patients with respect to an operative approach. On the other hand, a high coincidence of severe peripheral arterial occlusive disease might hamper the endovascular approach and endovascular therapy might carry a high risk for these patients as well. Therefore, it is of utmost importance to consider how and when cardiac high risk patients with AAA should be treated. In this review therefore special aspects such as the choice of medical treatment, the need of preoperative coronary revascularization and the situation in old patients are discussed in detail. |
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Authors:
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Christiane P Tiefenbacher |
Publication Detail:
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Type: Journal Article; Review Date: 2008-01-14 |
Journal Detail:
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Title: Clinical research in cardiology : official journal of the German Cardiac Society Volume: 97 ISSN: 1861-0684 ISO Abbreviation: - Publication Date: 2008 Apr |
Date Detail:
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Created Date: 2008-03-31 Completed Date: 2008-11-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101264123 Medline TA: Clin Res Cardiol Country: Germany |
Other Details:
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Languages: eng Pagination: 215-21 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Ruprecht-Karls University Heidelberg, Im Neuenheimer Feld 410, 69120 Heidelberg, Germany. ctiefenbacher@med.uni-heidelberg.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angioplasty, Transluminal, Percutaneous Coronary / mortality Aortic Aneurysm, Abdominal / drug therapy, epidemiology*, surgery* Blood Vessel Prosthesis Implantation / instrumentation Cardiovascular Diseases / epidemiology*, surgery* Clinical Trials as Topic Comorbidity Humans Risk Factors Stents Surgical Procedures, Minimally Invasive / mortality Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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