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Abdominal Aortic Aneurysm

Dr Swapnil Pawar May 16, 2022 27


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Abdominal Aortic Aneurysm

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    Abdominal Aortic Aneurysm
    Dr Swapnil Pawar

Blog Written by Dr Andrew Lam

Risk Factors for AAA

  • Age
  • Gender (Males more at risk)
  • Smoking
  • Atherosclerosis
  • Hypertension
  • Connective Tissue Diseases (i.e. Marfan’s, Ehlers-Danlos)
  • Family history of AAA

Open AAA Repair vs. Endovascular Repair

 

Open AAA Repair Endovascular Repair
Procedure Diseased aorta is replaced by a tube or bifurcated graft through an abdominal or retroperitoneal incision Graft components are delivered through the femoral arteries and lines the diseased aorta to exclude it from the circulation
Advantages
  • More readily available in facilities than endovascular repair
  • Reduced peri-operative morbidity and mortality compared to open approach
  • Less invasive
Disadvantages
  • Higher peri-operative morbidity and mortality 
  • More invasive
  • Requires specialised facilities
  • Not all patients will be anatomically suitable for endovascular repair


 

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