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Management of Abdominal Aortic Aneurysm Disease: Similarities and Differences Among Cardiovascular Guidelines and NICE Guidance

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Management of Abdominal Aortic Aneurysm Disease: Similarities and Differences Among Cardiovascular Guidelines and NICE Guidance. / Spanos, Konstantinos; Nana, Petroula; Behrendt, Christian-Alexander; Kouvelos, George; Panuccio, Giuseppe; Heidemann, Franziska; Matsagkas, Miltiadis; Debus, Sebastian; Giannoukas, Athanasios; Kölbel, Tilo.

In: J ENDOVASC THER, Vol. 27, No. 6, 12.2020, p. 889-901.

Research output: SCORING: Contribution to journal › SCORING: Review article › Research

Harvard

Spanos, K, Nana, P, Behrendt, C-A, Kouvelos, G, Panuccio, G, Heidemann, F, Matsagkas, M, Debus, S, Giannoukas, A & Kölbel, T 2020, 'Management of Abdominal Aortic Aneurysm Disease: Similarities and Differences Among Cardiovascular Guidelines and NICE Guidance', J ENDOVASC THER, vol. 27, no. 6, pp. 889-901. https://doi.org/10.1177/1526602820951265

APA

Spanos, K., Nana, P., Behrendt, C-A., Kouvelos, G., Panuccio, G., Heidemann, F., Matsagkas, M., Debus, S., Giannoukas, A., & Kölbel, T. (2020). Management of Abdominal Aortic Aneurysm Disease: Similarities and Differences Among Cardiovascular Guidelines and NICE Guidance. J ENDOVASC THER, 27(6), 889-901. https://doi.org/10.1177/1526602820951265

Vancouver

Spanos K, Nana P, Behrendt C-A, Kouvelos G, Panuccio G, Heidemann F et al. Management of Abdominal Aortic Aneurysm Disease: Similarities and Differences Among Cardiovascular Guidelines and NICE Guidance. J ENDOVASC THER. 2020 Dec;27(6):889-901. https://doi.org/10.1177/1526602820951265

Bibtex

@article{823210b1ee1c430f87a8f389ad46d2f4,
title = "Management of Abdominal Aortic Aneurysm Disease: Similarities and Differences Among Cardiovascular Guidelines and NICE Guidance",
abstract = "The development of endovascular techniques has improved abdominal aortic aneurysm (AAA) management over the past 2 decades. Different cardiovascular societies worldwide have recommended the endovascular approach as the standard of care in their currently available guidelines. While endovascular treatment has established its role in daily clinical practice, a new debate has arisen regarding the indications, appropriateness, limitations, and role of open surgery. To inform this debate, the MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials databases were searched from 2010 to May 2020; the systematic search identified 5 articles published between 2011 and 2020 by 4 cardiovascular societies and the National Institute of Health and Care Excellence (NICE). Four debatable domains were assessed and analyzed: diagnostic methods and screening, preoperative management, indications and treatment modalities, and postoperative follow-up and endoleak management. The review addresses controversial proposals as well as widely accepted recommendations and {"}gray zone{"} issues that need to be further investigated and analyzed, such as screening in women, medical management, and follow-up imaging. While the recommendations for AAA management have significant overlap and agreement among international cardiovascular societies, the NICE guidelines diverge regarding the role of open repair in aortic disease, recommending conventional surgery in most elective cases.",
keywords = "Aortic Aneurysm, Abdominal/diagnostic imaging, Elective Surgical Procedures, Endoleak/prevention & control, Endovascular Procedures, Female, Humans, Practice Guidelines as Topic, Treatment Outcome",
author = "Konstantinos Spanos and Petroula Nana and Christian-Alexander Behrendt and George Kouvelos and Giuseppe Panuccio and Franziska Heidemann and Miltiadis Matsagkas and Sebastian Debus and Athanasios Giannoukas and Tilo K{\"o}lbel",
year = "2020",
month = dec,
doi = "10.1177/1526602820951265",
language = "English",
volume = "27",
pages = "889--901",
journal = "J ENDOVASC THER",
issn = "1526-6028",
publisher = "International Society of Endovascular Specialists",
number = "6",

}

RIS

TY - JOUR

T1 - Management of Abdominal Aortic Aneurysm Disease: Similarities and Differences Among Cardiovascular Guidelines and NICE Guidance

AU - Spanos, Konstantinos

AU - Nana, Petroula

AU - Behrendt, Christian-Alexander

AU - Kouvelos, George

AU - Panuccio, Giuseppe

AU - Heidemann, Franziska

AU - Matsagkas, Miltiadis

AU - Debus, Sebastian

AU - Giannoukas, Athanasios

AU - Kölbel, Tilo

PY - 2020/12

Y1 - 2020/12

N2 - The development of endovascular techniques has improved abdominal aortic aneurysm (AAA) management over the past 2 decades. Different cardiovascular societies worldwide have recommended the endovascular approach as the standard of care in their currently available guidelines. While endovascular treatment has established its role in daily clinical practice, a new debate has arisen regarding the indications, appropriateness, limitations, and role of open surgery. To inform this debate, the MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials databases were searched from 2010 to May 2020; the systematic search identified 5 articles published between 2011 and 2020 by 4 cardiovascular societies and the National Institute of Health and Care Excellence (NICE). Four debatable domains were assessed and analyzed: diagnostic methods and screening, preoperative management, indications and treatment modalities, and postoperative follow-up and endoleak management. The review addresses controversial proposals as well as widely accepted recommendations and "gray zone" issues that need to be further investigated and analyzed, such as screening in women, medical management, and follow-up imaging. While the recommendations for AAA management have significant overlap and agreement among international cardiovascular societies, the NICE guidelines diverge regarding the role of open repair in aortic disease, recommending conventional surgery in most elective cases.

AB - The development of endovascular techniques has improved abdominal aortic aneurysm (AAA) management over the past 2 decades. Different cardiovascular societies worldwide have recommended the endovascular approach as the standard of care in their currently available guidelines. While endovascular treatment has established its role in daily clinical practice, a new debate has arisen regarding the indications, appropriateness, limitations, and role of open surgery. To inform this debate, the MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials databases were searched from 2010 to May 2020; the systematic search identified 5 articles published between 2011 and 2020 by 4 cardiovascular societies and the National Institute of Health and Care Excellence (NICE). Four debatable domains were assessed and analyzed: diagnostic methods and screening, preoperative management, indications and treatment modalities, and postoperative follow-up and endoleak management. The review addresses controversial proposals as well as widely accepted recommendations and "gray zone" issues that need to be further investigated and analyzed, such as screening in women, medical management, and follow-up imaging. While the recommendations for AAA management have significant overlap and agreement among international cardiovascular societies, the NICE guidelines diverge regarding the role of open repair in aortic disease, recommending conventional surgery in most elective cases.

KW - Aortic Aneurysm, Abdominal/diagnostic imaging

KW - Elective Surgical Procedures

KW - Endoleak/prevention & control

KW - Endovascular Procedures

KW - Female

KW - Humans

KW - Practice Guidelines as Topic

KW - Treatment Outcome

U2 - 10.1177/1526602820951265

DO - 10.1177/1526602820951265

M3 - SCORING: Review article

C2 - 32813590

VL - 27

SP - 889

EP - 901

JO - J ENDOVASC THER

JF - J ENDOVASC THER

SN - 1526-6028

IS - 6

ER -