Elektive endovaskuläre versus operative Therapie des Bauchaortenaneurysmas – aktuelle Langzeitdaten
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Elektive endovaskuläre versus operative Therapie des Bauchaortenaneurysmas – aktuelle Langzeitdaten. / Honig, Susanne; Kölbel, Tilo; Panuccio, Giuseppe; Wipper, Sabine; Debus, Eike Sebastian.
in: DEUT MED WOCHENSCHR, Jahrgang 145, Nr. 7, 04.2020, S. 418-422.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Elektive endovaskuläre versus operative Therapie des Bauchaortenaneurysmas – aktuelle Langzeitdaten
AU - Honig, Susanne
AU - Kölbel, Tilo
AU - Panuccio, Giuseppe
AU - Wipper, Sabine
AU - Debus, Eike Sebastian
N1 - © Georg Thieme Verlag KG Stuttgart · New York.
PY - 2020/4
Y1 - 2020/4
N2 - Four randomized clinical trials prospectively compared endovascular (EVAR) and open repair (OR) of abdominal aortic aneurysm (AAA): Chronologically these are EVAR 1 (UK), DREAM (Netherlands), OVER (USA) and ACE (France). All of them investigated whether the superior early postoperative outcome of endovascular repair is maintained in the long-term. The longest follow-up data of EVAR 1, with a mean person-years observation (either until death or end of study) of 8 years, clearly question the superiority of EVAR. In this context, open repair of AAA takes on a new significance and the indication for endovascular repair should be critically assessed with regard to the long-term course. Indication for invasive treatment has not changed and should - apart from exceptions - only be given for men with a diameter of 5,5 cm or more. Furthermore, current studies on prophylactic mesh reinforcement after open repair of AAA show that incisional hernias can be safely avoided.
AB - Four randomized clinical trials prospectively compared endovascular (EVAR) and open repair (OR) of abdominal aortic aneurysm (AAA): Chronologically these are EVAR 1 (UK), DREAM (Netherlands), OVER (USA) and ACE (France). All of them investigated whether the superior early postoperative outcome of endovascular repair is maintained in the long-term. The longest follow-up data of EVAR 1, with a mean person-years observation (either until death or end of study) of 8 years, clearly question the superiority of EVAR. In this context, open repair of AAA takes on a new significance and the indication for endovascular repair should be critically assessed with regard to the long-term course. Indication for invasive treatment has not changed and should - apart from exceptions - only be given for men with a diameter of 5,5 cm or more. Furthermore, current studies on prophylactic mesh reinforcement after open repair of AAA show that incisional hernias can be safely avoided.
KW - Aortic Aneurysm, Abdominal/surgery
KW - Elective Surgical Procedures
KW - Endovascular Procedures
KW - Female
KW - Humans
KW - Male
KW - Practice Guidelines as Topic
KW - Randomized Controlled Trials as Topic
KW - Thoracic Surgical Procedures
U2 - 10.1055/a-0956-4325
DO - 10.1055/a-0956-4325
M3 - SCORING: Zeitschriftenaufsatz
C2 - 32236919
VL - 145
SP - 418
EP - 422
JO - DEUT MED WOCHENSCHR
JF - DEUT MED WOCHENSCHR
SN - 0012-0472
IS - 7
ER -