Document Detail


The current status of endovascular repair of abdominal aortic aneurysms (EVAR).
MedLine Citation:
PMID:  21979119     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Abdominal aortic aneurysms (AAA) affect close to a quarter of a million people in the United States every year. Intervention is designed to treat the AAA when the patient becomes symptomatic and to prevent the fatality associated with rupture. Physicians and patients should weigh the risks associated with intervention compared to the risk of rupture for the particular size of the aneurysm and the patient's comorbidities. Thus, the decision to intervene, especially in asymptomatic aneurysms, is mostly based on clinical judgment. Endovascular AAA repair (EVAR) is attractive in that it offers a minimally invasive approach that obviates a major abdominal procedure and cross-clamping of aorta. We report on the current affairs of the major clinical trails evaluating the outcomes of patients undergoing EVAR and describe the current devices available in the United States for endovascular repair.
Authors:
Joseph J Naoum; Nyla Ismail; Eric K Peden
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Methodist DeBakey cardiovascular journal     Volume:  7     ISSN:  1947-6108     ISO Abbreviation:  Methodist Debakey Cardiovasc J     Publication Date:    2011 Jul-Sep
Date Detail:
Created Date:  2011-10-07     Completed Date:  2012-07-16     Revised Date:  2012-08-17    
Medline Journal Info:
Nlm Unique ID:  101508600     Medline TA:  Methodist Debakey Cardiovasc J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  11-4     Citation Subset:  IM    
Affiliation:
Methodist DeBakey Heart & Vascular Center, The Methodist Hospital, Houston, Texas, USA.
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MeSH Terms
Descriptor/Qualifier:
Aortic Aneurysm, Abdominal / surgery*
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation* / adverse effects,  instrumentation
Endovascular Procedures* / adverse effects,  instrumentation
Evidence-Based Medicine
Humans
Patient Selection
Prosthesis Design
Risk Assessment
Risk Factors
Stents
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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