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Abdominelles Aortenaneurysma (AAA)

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Evidenzbasierte Gefäßchirurgie

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Zusammenfassung

Für die Behandlung eines asymptomatischen abdominellen Aortenaneurysmas (AAA) stehen die offene (OR) und endovaskuläre Versorgung (EVAR) des AAA gleichwertig zur Verfügung. Jedoch hat EVAR aufgrund geringerer perioperativer Morbidität und Letalität, wenn technisch machbar, OR verdrängt, was sich speziell bei Patienten in höherem Lebensalter positiv bemerkbar macht. Die Registerstudien demonstrieren, dass die gleiche Aussage auch für das rupturierte AAA gilt.

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Literatur

  • Argyriou C, Georgiadis GS, Kontopodis N, Pherwani AD, Van Herwaarden JA, Hazenberg CEVB, Antoniou GA (2018) Screening for abdominal aortic aneurysm during transthoracic echocardiography: a systematic review and meta-analysis. Eur J Vasc Endovasc Surg 55:475–491

    Article  Google Scholar 

  • Argyriou C, Georgiadis GS, Lazarides MK, Georgakarakos E, Antoniou GA (2017) Endograft infection after endovascular abdominal aortic aneurysm repair: a systematic review and meta-analysis. J Endovasc Ther 24:688–697

    Article  Google Scholar 

  • Badger S, Forster R, Blair PH, Ellis P, Kee F, Harkin DW (2017) Endovascular treatment for ruptured abdominal aortic aneurysm. Cochrane Database Syst Rev: CD005261

    Google Scholar 

  • Chabok M, Nicolaides A, Aslam M, Farahmandfar M, Humphries K, Kermani NZ, Coltart J, Standfield N (2016) Risk factors associated with increased prevalence of abdominal aortic aneurysm in women. Br J Surg 103:1132–1138

    Article  CAS  Google Scholar 

  • Chaikof EL, Dalman RL, Eskandari MK et al (2018) The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. J Vasc Surg 67:2–77

    Article  Google Scholar 

  • Deery SE, Soden PA, Zettervall SL, Shean KE, Bodewes TC, Pothof AB, Lo RC, Schermerhorn ML (2017) Sex differences in mortality and morbidity following repair of intact abdominal aortic aneurysms. J Vasc Surg 65:1006–1013

    Article  Google Scholar 

  • DeMartino RR, Huang Y, Mandrekar J, Goodney PP, Oderich GS, Kalra M, Bower TC, Cronenwett JL, Gloviczki P (2018) External validation of a 5-year survival prediction model after elective abdominal aortic aneurysm repair. J Vasc Surg 67:151–156

    Article  Google Scholar 

  • Erbel R, Aboyans V, Boileau C, et al, ESC Committee for Practice Guidelines (2014) 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). Eur Heart J 35:2873–2926

    Article  Google Scholar 

  • Eslami MH, Rybin DV, Doros G, Siracuse JJ, Farber A (2018) External validation of Vascular Study Group of New England risk predictive model of mortality after elective abdominal aorta aneurysm repair in the Vascular Quality Initiative and comparison against established models. J Vasc Surg 67:143–150

    Article  Google Scholar 

  • Gimzewska M, Jackson AI, Yeoh SE, Clarke M (2017) Totally percutaneous versus surgical cut-down femoral artery access for elective bifurcated abdominal endovascular aneurysm repair. Cochrane Database Syst Rev CD010185

    Google Scholar 

  • Grima MJ, Boufi M, Law M, Jackson D, Stenson K, Patterson B, Loftus I, Thompson M, Karthikesalingam A, Holt P (2018) Editor’s choice – the implications of non-compliance to endovascular aneurysm repair surveillance: a systematic review and meta-analysis. Eur J Vasc Endovasc Surg 55:492–502

    Article  Google Scholar 

  • Gupta AK, Dakour Aridi H, Locham S, Nejim B, Veith FJ, Malas MB (2018) Real-world evidence of superiority of endovascular repair in treating ruptured abdominal aortic aneurysm. J Vasc Surg (Epub ahead of print)

    Google Scholar 

  • Hoshina K, Ishimaru S, Sasabuchi Y, Yasunaga H, Komori K, Japan Committee for Stentgraft Management (JACSM) (2017) Outcomes of endovascular repair for abdominal aortic aneurysms: a nationwide survey in Japan. Ann Surg (Epub ahead of print)

    Google Scholar 

  • Indrakusuma R, Jalalzadeh H, van der Meij JE, Balm R, Koelemay MJW (2018) Prophylactic mesh reinforcement versus sutured closure to prevent incisional hernias after open abdominal aortic aneurysm repair via midline laparotomy: a systematic review and meta-Analysis. Eur J Vasc Endovasc Surg 56:120–128

    Article  Google Scholar 

  • Jacomelli J, Summers L, Stevenson A, Lees T, Earnshaw JJ (2017) Editor’s choice – inequalities in abdominal aortic aneurysm screening in England: effects of social deprivation and ethnicity. Eur J Vasc Endovasc Surg 53:837–843

    Article  CAS  Google Scholar 

  • Jairam AP, Timmermans L, Eker HH et al.; PRIMA Trialist Group (2017) Prevention of incisional hernia with prophylactic onlay and sublay mesh reinforcement versus primary suture only in midline laparotomies (PRIMA): 2-year follow-up of a multicentre, double-blind, randomised controlled trial. Lancet 390(10094):567–576

    Google Scholar 

  • Karthikesalingam A, Vidal-Diez A, Holt PJ, Loftus IM, Schermerhorn ML, Soden PA, Landon BE, Thompson MM (2016) Thresholds for abdominal aortic aneurysm repair in England and the United States. N Engl J Med 375:2051–2059

    Article  Google Scholar 

  • Laine MT, Laukontaus SJ, Sund R, Aho PS, Kantonen I, Albäck A, Venermo M (2017) A population-based study of abdominal aortic aneurysm treatment in Finland 2000 to 2014. Circulation 136:1726–1734

    Article  Google Scholar 

  • Lijftogt N, Luijnenburg TWF, Vahl AC, Wilschut ED, Leijdekkers VJ, Fiocco MF, Wouters MWJM, Hamming JF (2017) Systematic review of mortality risk prediction models in the era of endovascular abdominal aortic aneurysm surgery. Br J Surg 104:964–976

    Article  CAS  Google Scholar 

  • Lijftogt N, Vahl AC, Wilschut ED et al, Dutch Society of Vascular Surgery, the Steering Committee of the Dutch Surgical Aneurysm Audit, and the Dutch Institute for Clinical Auditing (2017) Adjusted hospital outcomes of abdominal aortic aneurysm surgery reported in the dutch surgical aneurysm audit. Eur J Vasc Endovasc Surg 53(4):520–532

    Google Scholar 

  • Lindholt JS, Søgaard R (2017) Population screening and intervention for vascular disease in danish men (VIVA): a randomised controlled trial. Lancet 390(10109):2256–2265

    Article  Google Scholar 

  • Linné A, Forsberg J, Lindström D, Ideskog E, Hultgren R (2016) Age at detection of abdominal aortic aneurysms in siblings of patients with abdominal aortic aneurysms. J Vasc Surg 63:883–887

    Article  Google Scholar 

  • Mell MW, Starnes BW, Kraiss LW, Schneider PA, Pevec WC (2017) Western Vascular Society guidelines for transfer of patients with ruptured abdominal aortic aneurysm. J Vasc Surg 65:603–608

    Article  Google Scholar 

  • Meltzer AJ, Connolly PH, Schneider DB, Sedrakyan A (2017) Impact of surgeon and hospital experience on outcomes of abdominal aortic aneurysm repair in New York State. J Vasc Surg 66:728–734

    Article  Google Scholar 

  • Muysoms FE, Detry O, Vierendeels T, Huyghe M, Miserez M, Ruppert M, Tollens T, Defraigne JO, Berrevoet F (2016) Prevention of incisional hernias by prophylactic mesh-augmented reinforcement of midline laparotomies for abdominal aortic aneurysm treatment: a randomized controlled trial. Ann Surg 263:638–645

    Article  Google Scholar 

  • O’Donnell TFX, Li C, Swerdlow NJ, Liang P, Pothof AB, Patel VI, Giles KA, Malas MB, Schermerhorn ML (2018) The weekend effect in AAA repair. Ann Surg (Epub ahead of print)

    Google Scholar 

  • Orden K Van , Farber A, Schermerhorn ML, Goodney PP, Kalish JA, Jones DW, Rybin D, Siracuse JJ, Vascular Quality Initiative (2018) Local anesthesia for percutaneous endovascular abdominal aortic aneurysm repair is associated with fewer pulmonary complications. J Vasc Surg 68:1023–1029

    Google Scholar 

  • Overbey DM, Glebova NO, Chapman BC, Hosokawa PW, Eun JC, Nehler MR (2017) Morbidity of endovascular abdominal aortic aneurysm repair is directly related to diameter. J Vasc Surg 66:1037–1047

    Article  Google Scholar 

  • Powell JT, IMPROVE Trial Investigators (2017) Comparative clinical effectiveness and cost effectiveness of endovascular strategy v open repair for ruptured abdominal aortic aneurysm: three year results of the IMPROVE randomised trial. BMJ 359:j4859

    Google Scholar 

  • Powell JT, Sweeting MJ, Ulug P, Blankensteijn JD, Lederle FA, Becquemin JP, Greenhalgh RM, EVAR-1, DREAM, OVER and ACE Trialists (2017) Meta-analysis of individual-patient data from EVAR-1, DREAM, OVER and ACE trials comparing outcomes of endovascular or open repair for abdominal aortic aneurysm over 5 years. Br J Surg 104:166–178

    Article  CAS  Google Scholar 

  • Powell JT, Sweeting MJ, Ulug P, Thompson MM, Hinchliffe RJ, IMPROVE Trial Investigators (2018). Re-interventions after repair of ruptured abdominal aortic aneurysm: a report from the IMPROVE randomised trial. Eur J Vasc Endovasc Surg 55:625–632

    Google Scholar 

  • Schaik TG van, Yeung KK, Verhagen HJ, de Bruin JL, van Sambeek MRHM, Balm R, Zeebregts CJ, van Herwaarden JA, Blankensteijn JD, DREAM trial participants (2017) Long-term survival and secondary procedures after open or endovascular repair of abdominal aortic aneurysms. J Vasc Surg 66:1379–1389

    Article  Google Scholar 

  • Sidloff DA, Saratzis A, Sweeting MJ, Michaels J, Powell JT, Thompson SG, Bown MJ (2017) Sex differences in mortality after abdominal aortic aneurysm repair in the UK. Br J Surg 104:1656–1664

    Article  CAS  Google Scholar 

  • Søgaard R, Lindholt JS (2018) Cost-effectiveness of population-based vascular disease screening and intervention in men from the Viborg Vascular (VIVA) trial. Br J Surg 105:1283–1293

    Article  Google Scholar 

  • Sonesson B, Björses K, Dias N, Rylance R, Mani K, Wanhainen A, Resch T (2017) Outcome after ruptured AAA repair in octo- and nonagenarians in Sweden 1994–2014. Eur J Vasc Endovasc Surg 53:656–662

    Article  CAS  Google Scholar 

  • Sweeting MJ, Patel R, Powell JT, Greenhalgh RM, Trial Investigators EVAR (2017) Endovascular repair of abdominal aortic aneurysm in patients physically ineligible for open repair: very long-term follow-up in the EVAR-2 Randomized Controlled Trial. Ann Surg 266:713–719

    Article  Google Scholar 

  • Tan TW, Eslami M, Rybin D, Doros G, Zhang WW, Farber A (2017) Outcomes of endovascular and open surgical repair of ruptured abdominal aortic aneurysms in elderly patients. J Vasc Surg 66:64–70

    Article  Google Scholar 

  • Trenner M, Kuehnl A, Reutersberg B, Salvermoser M, Eckstein HH (2018a) Nationwide analysis of risk factors for in-hospital mortality in patients undergoing abdominal aortic aneurysm repair. Br J Surg 105:379–387

    Article  CAS  Google Scholar 

  • Trenner M, Kuehnl A, Salvermoser M, Reutersberg B, Geisbuesch S, Schmid V, Eckstein HH (2018b) Editor’s choice – high annual hospital volume is associated with decreased in hospital mortality and complication rates following treatment of abdominal aortic aneurysms: secondary data analysis of the nationwide german DRG Statistics from 2005 to 2013. Eur J Vasc Endovasc Surg 55:185–194

    Article  Google Scholar 

  • Ulug P, Sweeting MJ, von Allmen RS, Thompson SG, Powell JT, SWAN collaborators (2017) Morphological suitability for endovascular repair, non-intervention rates, and operative mortality in women and men assessed for intact abdominal aortic aneurysm repair: systematic reviews with meta-analysis. Lancet 389(10088):2482–2491

    Article  Google Scholar 

  • Vetrhus M, Reite A, Vennesland JB, Søreide K (2018) Characteristics, stratification and time to death in a population-based cohort of patients with ruptured abdominal aortic aneurysms not undergoing surgery. World J Surg 42:2269–2276

    Article  Google Scholar 

  • Wanhainen A, Hultgren R, Linné A et al, Swedish Aneurysm Screening Study Group (SASS) (2016) Outcome of the swedish nationwide abdominal aortic aneurysm screening program. Circulation 134: 1141–1148

    Google Scholar 

  • Williamson JS, Ambler GK, Twine CP, Williams IM, Williams GL (2018) Elective repair of abdominal aortic aneurysm and the risk of colonic ischaemia: systematic review and meta-analysis. Eur J Vasc Endovasc Surg 56:31–39

    Article  Google Scholar 

  • Zettervall SL, Schermerhorn ML, Soden PA, McCallum JC, Shean KE, Deery SE, O’Malley AJ, Landon B (2017) The effect of surgeon and hospital volume on mortality after open and endovascular repair of abdominal aortic aneurysms. J Vasc Surg 65:626–634

    Article  Google Scholar 

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Correspondence to E. Sebastian Debus .

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Debus, E.S., Grundmann, R.T. (2019). Abdominelles Aortenaneurysma (AAA). In: Evidenzbasierte Gefäßchirurgie. Evidenzbasierte Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-57709-7_5

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  • DOI: https://doi.org/10.1007/978-3-662-57709-7_5

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