Skip to main content
SpringerLink
Log in
Book cover

Evidence-based Therapy in Vascular Surgery pp 69–95Cite as

Abdominal Aortic Aneurysm (AAA)

  • Chapter
  • First Online:

Abstract

For treatment of asymptomatic abdominal aortic aneurysm (AAA) open (OR) and endovascular repair (EVAR) are equally effective with terms of long-term outcome. However, EVAR has replaced OR in a high percentage due to lower perioperative morbidity and mortality, which has shown to be particularly important in patients of advanced age. The registry studies demonstrate that the same statement applies to ruptured AAA.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  • Ali MM, Flahive J, Schanzer A, Simons JP, Aiello FA, Doucet DR, Messina LM, Robinson WP. In patients stratified by preoperative risk, endovascular repair of ruptured abdominal aortic aneurysms has a lower in-hospital mortality and morbidity than open repair. J Vasc Surg. 2015;61:1399–407.

    Article  PubMed  Google Scholar 

  • Anderson JL, Halperin JL, Albert NM, et al. Management of patients with peripheral artery disease (compilation of 2005 and 2011 ACCF/AHA guideline recommendations): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2013;127:1425–43.

    Article  PubMed  Google Scholar 

  • Anjum A, Powell JT. Is the incidence of abdominal aortic aneurysm declining in the 21st century? Mortality and hospital admissions for England & Wales and Scotland. Eur J Vasc Endovasc Surg. 2012;43:161–6.

    Article  CAS  PubMed  Google Scholar 

  • Anjum A, von Allmen R, Greenhalgh R, Powell JT. Explaining the decrease in mortality from abdominal aortic aneurysm rupture. Br J Surg. 2012;99:637–45.

    Article  CAS  PubMed  Google Scholar 

  • Badger SA, Harkin DW, Blair PH, Ellis PK, Kee F, Forster R. Endovascular repair or open repair for ruptured abdominal aortic aneurysm: a Cochrane systematic review. BMJ Open. 2016;6:e008391.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Bahia SS, Holt PJ, Jackson D, Patterson BO, Hinchliffe RJ, Thompson MM, Karthikesalingam A. Systematic review and meta-analysis of long-term survival after elective infrarenal abdominal aortic aneurysm repair 1969-2011: 5 year survival remains poor despite advances in medical care and treatment strategies. Eur J Vasc Endovasc Surg. 2015;50:320–30.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Becquemin JP, Pillet JC, Lescalie F, Sapoval M, Goueffic Y, Lermusiaux P, Steinmetz E, Marzelle J, ACE trialists. A randomized controlled trial of endovascular aneurysm repair versus open surgery for abdominal aortic aneurysms in low- to moderate-risk patients. J Vasc Surg. 2011;53:1167–73.

    Article  PubMed  Google Scholar 

  • Benson RA, Poole R, Murray S, Moxey P, Loftus IM. Screening results from a large United Kingdom abdominal aortic aneurysm screening center in the context of optimizing United Kingdom National Abdominal Aortic Aneurysm Screening Programme protocols. J Vasc Surg. 2016;63:301–4.

    Article  PubMed  Google Scholar 

  • Brown LC, Powell JT, Thompson SG, Epstein DM, Sculpher MJ, Greenhalgh RM. The UK EndoVascular Aneurysm Repair (EVAR) trials: randomised trials of EVAR versus standard therapy. Health Technol Assess. 2012;16(9):1–218.

    Article  CAS  PubMed  Google Scholar 

  • Chang DC, Parina RP, Wilson SE. Survival after endovascular vs open aortic aneurysm repairs. JAMA Surg. 2015;150:1160–6.

    Article  PubMed  Google Scholar 

  • Chaikof EL, Brewster DC, Dalman RL, Makaroun MS, Illig KA, Sicard GA, Timaran CH, Upchurch Jr GR, Veith FJ. SVS practice guidelines for the care of patients with an abdominal aortic aneurysm: executive summary. J Vasc Surg. 2009;50:880–96.

    Article  PubMed  Google Scholar 

  • Darwood RJ, Brooks MJ. The impact of decreasing abdominal aortic aneurysm prevalence on a local aneurysm screening programme. Eur J Vasc Endovasc Surg. 2012;44:45–50.

    Article  CAS  PubMed  Google Scholar 

  • de Bruin JL, Baas AF, Buth J, Prinssen M, Verhoeven EL, Cuypers PW, van Sambeek MR, Balm R, Grobbee DE, Blankensteijn JD, DREAM Study Group. Long-term outcome of open or endovascular repair of abdominal aortic aneurysm. N Engl J Med. 2010;362:1881–9.

    Article  PubMed  Google Scholar 

  • de Bruin JL, Vervloet MG, Buimer MG, Baas AF, Prinssen M, Blankensteijn JD, DREAM Study Group. Renal function 5 years after open and endovascular aortic aneurysm repair from a randomized trial. Br J Surg. 2013;100:1465–70.

    Article  PubMed  Google Scholar 

  • Dick F, Erdoes G, Opfermann P, Eberle B, Schmidli J, von Allmen RS. Delayed volume resuscitation during initial management of ruptured abdominal aortic aneurysm. J Vasc Surg. 2013;57:943–50.

    Article  PubMed  Google Scholar 

  • Dua A, Kuy S, Lee CJ, Upchurch Jr GR, Desai SS. Epidemiology of aortic aneurysm repair in the United States from 2000 to 2010. J Vasc Surg. 2014a;59:1512–7.

    Article  PubMed  Google Scholar 

  • Dua A, Furlough CL, Ray H, Sharma S, Upchurch GR, Desai SS. The effect of hospital factors on mortality rates after abdominal aortic aneurysm repair. J Vasc Surg. 2014b;60:1446–51.

    Article  PubMed  Google Scholar 

  • Dua A, Algodi MM, Furlough C, Ray H, Desai SS. Development of a scoring system to estimate mortality in abdominal aortic aneurysms management. Vascular. 2015;23:586–91.

    Article  PubMed  Google Scholar 

  • Edwards ST, Schermerhorn ML, O’Malley AJ, Bensley RP, Hurks R, Cotterill P, Landon BE. Comparative effectiveness of endovascular versus open repair of ruptured abdominal aortic aneurysm in the Medicare population. J Vasc Surg. 2014;59:575–82.

    Article  PubMed  Google Scholar 

  • Erbel R, Aboyans V, Boileau C, et al. 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. 2014;35:2873–926.

    Article  PubMed  Google Scholar 

  • Ferket BS, Grootenboer N, Colkesen EB, Visser JJ, van Sambeek MR, Spronk S, Steyerberg EW, Hunink MG. Systematic review of guidelines on abdominal aortic aneurysm screening. J Vasc Surg. 2012;55:1296–304.

    Article  PubMed  Google Scholar 

  • Filardo G, Powell JT, Martinez MA, Ballard DJ. Surgery for small asymptomatic abdominal aortic aneurysms. Cochrane Database Syst Rev. 2015;(3):CD001835.

    Google Scholar 

  • Grant SW, Hickey GL, Carlson ED, McCollum CN. Comparison of three contemporary risk scores for mortality following elective abdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg. 2014;48:38–44.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Guirguis-Blake JM, Beil TL, Senger CA, Whitlock EP. Ultrasonography screening for abdominal aortic aneurysms: a systematic evidence review for the U.S. Preventive Services Task Force. Ann Intern Med. 2014a;160:321–9.

    Article  PubMed  Google Scholar 

  • Guirguis-Blake JM, Beil TL, Sun X, Senger CA, Whitlock EP. Primary care screening for abdominal aortic aneurysm: a systematic evidence review for the U.S. Preventive Services Task Force [Internet]. Rockville: Agency for Healthcare Research and Quality (US); 2014b. Report No.: 14-05202-EF-1.

    Google Scholar 

  • Gunnarsson K, Wanhainen A, Djavani Gidlund K, Björck M, Mani K. Endovascular versus open repair as primary strategy for ruptured abdominal aortic aneurysm: a national population-based study. Eur J Vasc Endovasc Surg. 2016;51:22–8.

    Article  CAS  PubMed  Google Scholar 

  • Gupta PK, Ramanan B, Engelbert TL, Tefera G, Hoch JR, Kent KC. A comparison of open surgery versus endovascular repair of unstable ruptured abdominal aortic aneurysms. J Vasc Surg. 2014;60:1439–45.

    Article  PubMed  Google Scholar 

  • Hicks CW, Wick EC, Canner JK, Black 3rd JH, Arhuidese I, Qazi U, Obeid T, Freischlag JA, Malas MB. Hospital-level factors associated with mortality after endovascular and open abdominal aortic aneurysm repair. JAMA Surg. 2015;150:632–6.

    Article  PubMed  Google Scholar 

  • Hicks CW, Canner JK, Arhuidese I, Obeid T, Black 3rd JH, Malas MB. Comprehensive assessment of factors associated with in-hospital mortality after elective abdominal aortic aneurysm repair. JAMA Surg. 2016;151(9):838–45.

    Article  PubMed  Google Scholar 

  • Hirsch AT, et al. ACC/AHA 2005 Practice Guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease): endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation. Circulation. 2006;113:e463–654.

    Article  PubMed  Google Scholar 

  • Howard DP, Banerjee A, Fairhead JF, Handa A, Silver LE, Rothwell PM, Oxford Vascular Study. Age-specific incidence, risk factors and outcome of acute abdominal aortic aneurysms in a defined population. Br J Surg. 2015;102:907–15.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ichihashi T, Ito T, Kinoshita Y, Suzuki T, Ohte N. Safety and utility of total percutaneous endovascular aortic repair with a single Perclose ProGlide closure device. J Vasc Surg. 2016;63:585–8.

    Article  PubMed  Google Scholar 

  • IMPROVE Trial Investigators, Powell JT, Sweeting MJ, Thompson MM, Ashleigh R, Bell R, Gomes M, Greenhalgh RM, Grieve R, Heatley F, Hinchliffe RJ, Thompson SG, Ulug P. Endovascular or open repair strategy for ruptured abdominal aortic aneurysm: 30 day outcomes from IMPROVE randomised trial. BMJ. 2014a;348:f7661.

    Article  Google Scholar 

  • IMPROVE trial investigators, Powell JT, Hinchliffe RJ, Thompson MM, Sweeting MJ, Ashleigh R, Bell R, Gomes M, Greenhalgh RM, Grieve RJ, Heatley F, Thompson SG, Ulug P. Observations from the IMPROVE trial concerning the clinical care of patients with ruptured abdominal aortic aneurysm. Br J Surg. 2014b;101:216–24.

    Article  PubMed Central  Google Scholar 

  • IMPROVE Trial Investigators. Endovascular strategy or open repair for ruptured abdominal aortic aneurysm: one-year outcomes from the IMPROVE randomized trial. Eur Heart J. 2015;36:2061–9.

    Article  PubMed Central  Google Scholar 

  • IQWIG Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen. Ultraschall-Screening auf Bauchaortenaneurysmen. Final report S 13-04. 2015

    Google Scholar 

  • Jackson A, Yeoh SE, Clarke M. Totally percutaneous versus standard femoral artery access for elective bifurcated abdominal endovascular aneurysm repair. Cochrane Database Syst Rev. 2014;(2):CD010185.

    Google Scholar 

  • Jacomelli J, Summers L, Stevenson A, Lees T, Earnshaw JJ. Impact of the first 5 years of a national abdominal aortic aneurysm screening programme. Br J Surg. 2016;103:1125–31.

    Article  CAS  PubMed  Google Scholar 

  • Karthikesalingam A, Thrumurthy SG, Young EL, Hinchliffe RJ, Holt PJ, Thompson MM. Locoregional anesthesia for endovascular aneurysm repair. J Vasc Surg. 2012;56:510–9.

    Article  PubMed  Google Scholar 

  • Karthikesalingam A, Holt PJ, Vidal-Diez A, Ozdemir BA, Poloniecki JD, Hinchliffe RJ, Thompson MM. Mortality from ruptured abdominal aortic aneurysms: clinical lessons from a comparison of outcomes in England and the USA. Lancet. 2014;383(9921):963–9.

    Article  PubMed  Google Scholar 

  • Karthikesalingam A, Wanhainen A, Holt PJ, Vidal-Diez A, Brownrigg JR, Shpitser I, Björck M, Thompson MM, Mani K. Comparison of long-term mortality after ruptured abdominal aortic aneurysm in England and Sweden. Br J Surg. 2016;103:199–206.

    Article  CAS  PubMed  Google Scholar 

  • Kayssi A, DeBord SA, Roche-Nagle G, Nguyen LL. Health-related quality-of-life outcomes after open versus endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2015;62:491–8.

    Article  PubMed  Google Scholar 

  • Lederle FA, Freischlag JA, Kyriakides TC, Padberg Jr FT, Matsumura JS, Kohler TR, Lin PH, Jean-Claude JM, Cikrit DF, Swanson KM, Peduzzi PN, Open Versus Endovascular Repair (OVER) Veterans Affairs Cooperative Study Group. Outcomes following endovascular vs open repair of abdominal aortic aneurysm: a randomized trial. JAMA. 2009;302:1535–42.

    Article  CAS  PubMed  Google Scholar 

  • Lederle FA, Freischlag JA, Kyriakides TC, Matsumura JS, Padberg Jr FT, Kohler TR, Kougias P, Jean-Claude JM, Cikrit DF, Swanson KM, OVER Veterans Affairs Cooperative Study Group. Long-term comparison of endovascular and open repair of abdominal aortic aneurysm. N Engl J Med. 2012;367:1988–97.

    Article  CAS  PubMed  Google Scholar 

  • Lee K, Tang E, Dubois L, Power AH, DeRose G, Forbes TL. Durability and survival are similar after elective endovascular and open repair of abdominal aortic aneurysms in younger patients. J Vasc Surg. 2015;61:636–41.

    Article  PubMed  Google Scholar 

  • LeFevre ML, U.S. Preventive Services Task Force. Screening for abdominal aortic aneurysm: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2014;161:281–90.

    Article  PubMed  Google Scholar 

  • Malas M, Arhuidese I, Qazi U, Black J, Perler B, Freischlag JA. Perioperative mortality following repair of abdominal aortic aneurysms: application of a randomized clinical trial to real-world practice using a validated nationwide data set. JAMA Surg. 2014;149:1260–5.

    Article  PubMed  Google Scholar 

  • Mell MW, Wang NE, Morrison DE, Hernandez-Boussard T. Interfacility transfer and mortality for patients with ruptured abdominal aortic aneurysm. J Vasc Surg. 2014;60:553–7.

    Article  PubMed  Google Scholar 

  • Moll FL et al.; European Society for Vascular Surgery. Management of abdominal aortic aneurysms clinical practice guidelines of the European society for vascular surgery. Eur J Vasc Endovasc Surg. 2011;41(Suppl 1):S1–58.

    Google Scholar 

  • Muysoms FE, Detry O, Vierendeels T, Huyghe M, Miserez M, Ruppert M, Tollens T, Defraigne JO, Berrevoet F. Prevention of incisional hernias by prophylactic mesh-augmented reinforcement of midline laparotomies for abdominal aortic aneurysm treatment: a randomized controlled trial. Ann Surg. 2016;263:638–45.

    Article  PubMed  Google Scholar 

  • Nelson PR, Kracjer Z, Kansal N, Rao V, Bianchi C, Hashemi H, Jones P, Bacharach JM. A multicenter, randomized, controlled trial of totally percutaneous access versus open femoral exposure for endovascular aortic aneurysm repair (the PEVAR trial). J Vasc Surg. 2014;59:1181–93.

    Article  PubMed  Google Scholar 

  • Nguyen BN, Neville RF, Rahbar R, Amdur R, Sidawy AN. Comparison of outcomes for open abdominal aortic aneurysm repair and endovascular repair in patients with chronic renal insufficiency. Ann Surg. 2013;258:394–9.

    Article  PubMed  Google Scholar 

  • Otterhag SN, Gottsäter A, Lindblad B, Acosta S. Decreasing incidence of ruptured abdominal aortic aneurysm already before start of screening. BMC Cardiovasc Disord. 2016;16:44.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ozdemir BA, Karthikesalingam A, Sinha S, Poloniecki JD, Vidal-Diez A, Hinchliffe RJ, Thompson MM, Holt PJ. Association of hospital structures with mortality from ruptured abdominal aortic aneurysm. Br J Surg. 2015;102:516–24.

    Article  CAS  PubMed  Google Scholar 

  • Paravastu SC, Jayarajasingam R, Cottam R, Palfreyman SJ, Michaels JA, Thomas SM. Endovascular repair of abdominal aortic aneurysm. Cochrane Database Syst Rev. 2014;(1):CD004178.

    Google Scholar 

  • Parkinson F, Ferguson S, Lewis P, Williams IM, Twine CP, South East Wales Vascular Network. Rupture rates of untreated large abdominal aortic aneurysms in patients unfit for elective repair. J Vasc Surg. 2015;61:1606–12.

    Article  PubMed  Google Scholar 

  • Raux M, Marzelle J, Kobeiter H, Dhonneur G, Allaire E, Cochennec F, Becquemin JP, Desgranges P. Endovascular balloon occlusion is associated with reduced intraoperative mortality of unstable patients with ruptured abdominal aortic aneurysm but fails to improve other outcomes. J Vasc Surg. 2015;61:304–8.

    Article  PubMed  Google Scholar 

  • Reimerink JJ, Hoornweg LL, Vahl AC, Wisselink W, van den Broek TA, Legemate DA, Reekers JA, Balm R, Amsterdam Acute Aneurysm Trial Collaborators. Endovascular repair versus open repair of ruptured abdominal aortic aneurysms: a multicenter randomized controlled trial. Ann Surg. 2013;258:248–56.

    Article  PubMed  Google Scholar 

  • Robinson WP, Schanzer A, Aiello FA, Flahive J, Simons JP, Doucet DR, Arous E, Messina LM. Endovascular repair of ruptured abdominal aortic aneurysms does not reduce later mortality compared with open repair. J Vasc Surg. 2016;63:617–24.

    Article  PubMed  Google Scholar 

  • Rooke TW, et al. 2011 ACCF/AHA focused update of the guideline for the management of patients with peripheral artery disease (updating the 2005 guideline): a report of the American College of Cardiology Foundation/American Heart Association Task Force on practice guidelines. Circulation. 2011;124:2020–45.

    Article  Google Scholar 

  • Sahni NR, Dalton M, Cutler DM, Birkmeyer JD, Chandra A. Surgeon specialization and operative mortality in United States: retrospective analysis. BMJ. 2016;354:i3571.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sandford RM, Choke E, Bown MJ, Sayers RD. What is the best option for elective repair of an abdominal aortic aneurysm in a young fit patient? Eur J Vasc Endovasc Surg. 2014;47:13–8.

    Article  CAS  PubMed  Google Scholar 

  • Schanzer A, Messina LM, Ghosh K, Simons JP, Robinson 3rd WP, Aiello FA, Goldberg RJ, Rosen AB. Follow-up compliance after endovascular abdominal aortic aneurysm repair in Medicare beneficiaries. J Vasc Surg. 2015;61:16–22.

    Article  PubMed  Google Scholar 

  • Schermerhorn ML, Buck DB, O’Malley AJ, Curran T, McCallum JC, Darling J, Landon BE. Long-term outcomes of abdominal aortic aneurysm in the medicare population. N Engl J Med. 2015;373:328–38.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sensi L, Tedesco D, Mimmi S, Rucci P, Pisano E, Pedrini L, McDonald KM, Fantini MP, AAA-Working Group. Hospitalization rates and post-operative mortality for abdominal aortic aneurysm in Italy over the period 2000-2011. PLoS One. 2013;8:e83855.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sidloff DA, Gokani VJ, Stather PW, Choke E, Bown MJ, Sayers RD. National Vascular Registry Report on surgical outcomes and implications for vascular centres. Br J Surg. 2014;101:637–42.

    Article  CAS  PubMed  Google Scholar 

  • Siracuse JJ, Gill HL, Graham AR, Schneider DB, Connolly PH, Sedrakyan A, Meltzer AJ. Comparative safety of endovascular and open surgical repair of abdominal aortic aneurysms in low-risk male patients. J Vasc Surg. 2014;60:1154–8.

    Article  PubMed  Google Scholar 

  • Soden PA, Zettervall SL, Ultee KH, Darling JD, Buck DB, Hile CN, Hamdan AD, Schermerhorn ML. Outcomes for symptomatic abdominal aortic aneurysms in the American College of Surgeons National Surgical Quality Improvement Program. J Vasc Surg. 2016;64:297–305.

    Article  PubMed  Google Scholar 

  • Stackelberg O, Björck M, Larsson SC, Orsini N, Wolk A. Sex differences in the association between smoking and abdominal aortic aneurysm. Br J Surg. 2014;101:1230–7.

    Article  CAS  PubMed  Google Scholar 

  • Stather PW, Sidloff D, Dattani N, Choke E, Bown MJ, Sayers RD. Systematic review and meta-analysis of the early and late outcomes of open and endovascular repair of abdominal aortic aneurysm. Br J Surg. 2013;100:863–72.

    Article  CAS  PubMed  Google Scholar 

  • Svensjö S. Screening for abdominal aortic aneurysm. Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 903; 2013. ISSN 1651-6206. ISBN 978-91-554-8668-6.

    Google Scholar 

  • Svensjö S, Björck M, Wanhainen A. Editor’s choice: five-year outcomes in men screened for abdominal aortic aneurysm at 65 years of age: a population-based cohort study. Eur J Vasc Endovasc Surg. 2014a;47:37–44.

    Article  PubMed  Google Scholar 

  • Svensjö S, Björck M, Wanhainen A. Update on screening for abdominal aortic aneurysm: a topical review. Eur J Vasc Endovasc Surg. 2014b;48:659–67.

    Article  PubMed  Google Scholar 

  • Svensjö S, Mani K, Björck M, Lundkvist J, Wanhainen A. Screening for abdominal aortic aneurysm in 65-year-old men remains cost-effective with contemporary epidemiology and management. Eur J Vasc Endovasc Surg. 2014c;47:357–65.

    Article  PubMed  Google Scholar 

  • Sweeting MJ, Balm R, Desgranges P, Ulug P, Powell JT, Ruptured Aneurysm Trialists. Individual-patient meta-analysis of three randomized trials comparing endovascular versus open repair for ruptured abdominal aortic aneurysm. Br J Surg. 2015a;102:1229–39.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sweeting MJ, Ulug P, Powell JT, Desgranges P, Balm R, Ruptured Aneurysm Trialists. Ruptured aneurysm trials: the importance of longer-term outcomes and meta-analysis for 1-year mortality. Eur J Vasc Endovasc Surg. 2015b;50:297–302.

    Article  CAS  PubMed  Google Scholar 

  • Thompson SG, Ashton HA, Gao L, Buxton MJ, Scott RA, Multicentre Aneurysm Screening Study (MASS) Group. Final follow-up of the Multicentre Aneurysm Screening Study (MASS) randomized trial of abdominal aortic aneurysm screening. Br J Surg. 2012;99:1649–56.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Thompson SG, Brown LC, Sweeting MJ, Bown MJ, Kim LG, Glover MJ, Buxton MJ, Powell JT. Systematic review and meta-analysis of the growth and rupture rates of small abdominal aortic aneurysms: implications for surveillance intervals and their cost-effectiveness. Health Technol Assess. 2013;17(41):1–118.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ultee KH, Zettervall SL, Soden PA, Darling J, Bertges DJ, Verhagen HJ, Schermerhorn ML; Vascular Study Group of New England. Incidence of and risk factors for bowel ischemia after abdominal aortic aneurysm repair. J Vasc Surg. 2016;64:1384–91.

    Google Scholar 

  • van Beek SC, Reimerink JJ, Vahl AC, Wisselink W, Reekers JA, van Geloven N, Legemate DA, Balm R, Amsterdam Acute Aneurysm Trial Collaborators. Effect of regional cooperation on outcomes from ruptured abdominal aortic aneurysm. Br J Surg. 2014;101:794–801.

    Article  PubMed  Google Scholar 

  • van Beek SC, Reimerink JJ, Vahl AC, Wisselink W, Peters RJ, Legemate DA, Balm R, Amsterdam Acute Aneurysm Trial Collaborators. Editor’s Choice – external validation of models predicting survival after ruptured abdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg. 2015;49:10–6.

    Article  PubMed  Google Scholar 

  • Warner CJ, Roddy SP, Chang BB, Kreienberg PB, Sternbach Y, Taggert JB, Ozsvath KJ, Stain SC, Darling RC 3rd. Regionalization of emergent vascular surgery for patients with ruptured AAA improves outcomes. Ann Surg. 2016;264:538–43.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Vascular Medicine, University Heart and Vascular Center at University Clinics Hamburg–Eppendorf, Hamburg, Germany

    E. Sebastian Debus

  2. Former Medical Director, Community Hospital Altoetting-Burghausen, Burghausen, Germany

    Reinhart T. Grundmann

Authors
  1. E. Sebastian Debus
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Reinhart T. Grundmann
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Debus, E.S., Grundmann, R.T. (2017). Abdominal Aortic Aneurysm (AAA). In: Evidence-based Therapy in Vascular Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-47148-8_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-47148-8_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-47147-1

  • Online ISBN: 978-3-319-47148-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation