Universität zu Köln

Dorweiler, Bernhard, Mylonas, Spyridon and Salem, Oroa (2021). Debate on Infrarenal AAA in Young and Fit Patients ('Fit for Open Repair'): Open Repair is Safe and Long-term Results are Better. Zent.bl. Chir., 146 (5). S. 458 - 464. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1438-9592

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Abstract

Endovascular aortic repair, initially developed for patients at prohibitively high risk for an open repair, has undergone significant technical evolution and refinement and has emerged as the preferred treatment option for patients with an infrarenal aortic aneurysm. However, analysis of long-term data of the randomised studies unmasked inferior results with regards to survival and freedom-from-reintervention after eight years. Open aortic repair has been performed for more than seven decades and especially for the younger patients with few comorbidities, results are excellent. Potential drawbacks of open repair like incisional hernias, erectile dysfunction and quality of life can either be effectively prevented (mesh reinforcement) or actually failed to show a significant difference compared to open repair in recent studies. Therefore, meticulous assessment of patient comorbidites using validated parameters is the key element for decision-making and parameters such as young age, low comorbidity profile, large aneurysm and presence of atopic renal arteries or a dominant inferior mesenteric artery should prompt a recommendation of open repair.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Dorweiler, Bernhard UNSPECIFIED UNSPECIFIED UNSPECIFIED Mylonas, Spyridon UNSPECIFIED UNSPECIFIED UNSPECIFIED Salem, Oroa UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-562567
DOI:	10.1055/a-1611-0119
Journal or Publication Title:	Zent.bl. Chir.
Volume:	146
Number:	5
Page Range:	S. 458 - 464
Date:	2021
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1438-9592
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ABDOMINAL-AORTIC-ANEURYSM; EVAR TRIAL 1; QUALITY-OF-LIFE; ENDOVASCULAR REPAIR; SEXUAL DYSFUNCTION; PROPENSITY SCORE; RANDOMIZED-TRIAL; FOLLOW-UP; OUTCOMES; MORTALITY Multiple languages Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/56256