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Journal of Education, Health and Sport

Comparison of treatment methods of abdominal aortic aneurysm (AAA) – review
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Comparison of treatment methods of abdominal aortic aneurysm (AAA) – review

Authors

  • Adrian Kuś Student Research Circle at the Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin https://orcid.org/0000-0002-6624-5743
  • Małgorzata Szypłowska Student Research Circle at the Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin https://orcid.org/0000-0001-9811-8776
  • Michał Obel Student Research Circle at the Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin https://orcid.org/0000-0003-1237-8732
  • Adrianna Gorecka Student Research Circle at the Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin https://orcid.org/0000-0003-1977-712X
  • Bartłomiej Zaremba Student Research Circle at the Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin https://orcid.org/0000-0002-3255-2745

DOI:

https://doi.org/10.12775/JEHS.2020.10.09.088

Keywords

abdominal aortic aneurysm, classic method, endovascular method

Abstract

Introduction: An aneurysm of the abdominal aorta (AAA) is a local aortic dilatation, most often below the departure of renal arteries. It is becoming an increasingly common health issue amongst people over 65 years of age and poses a direct threat to life. However, early diagnosis, proper treatment and postoperative care significantly increase the chances for long-term survival. The currently available methods of treatment of an abdominal aortic aneurysm are surgical and include classical or endovascular approach. The classical method is an open operation consisting of the replacement of a changed section the aorta for a vascular prosthesis. Endovascular surgery protects the aneurysm from rupture by placing the peripheral vascular stent-graft access to the light of the aneurysm.

Aim and method: Comparison of two methods of treatment of abdominal aortic aneurysm: classical and endovascular in patients. We searched through the PubMed database and took into consideration all of the results available as of September 2020 and outlined the current evidence regarding AAA etiology, symptoms, clinical course, diagnosis and treatment.

Results and conclusion: Both classical and endovascular methods have similar long-term survival rates. More early complications can be observed in the classical method and late complications in the endovascular one. The choice which method the patient should be treated with should depend on the operators' experience with the method and their individual approach to the patient.

Author Biographies

Adrian Kuś, Student Research Circle at the Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin

Student

Małgorzata Szypłowska, Student Research Circle at the Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin

Student

Michał Obel, Student Research Circle at the Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin

student

Adrianna Gorecka, Student Research Circle at the Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin

student

Bartłomiej Zaremba, Student Research Circle at the Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin

student

References

Johnston KW, Rutherford RB, Tilson MD, Shah DM, Hollier L, Stanley JC. Suggested standards for reporting on arterial aneurysms. Subcommittee on Reporting Standards for Arterial Aneurysms, Ad Hoc Committee on Reporting Standards, Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery. J. Vasc. Surg. 1991 Mar;13(3):452-8

Quantifying the risks of hypertension, age, sex and smoking in patients with abdominal aortic aneurysm. K A Vardulaki 1, N M Walker, N E Day, S W Duffy, H A Ashton, R A Scott

Abdominal aortic aneurysm expansion: risk factors and time intervals for surveillance. Anthony R Brady 1, Simon G Thompson, F Gerald R Fowkes, Roger M Greenhalgh, Janet T Powell, UK Small Aneurysm Trial Participants

Zommorodi S, Leander K, Roy J, Steuer J, Hultgren R. Understanding abdominal aortic aneurysm epidemiology: socioeconomic position affects outcome. J Epidemiol Community Health. 2018 Oct;72(10):904-910.

Bengtsson H, Bergqvist D, Ekberg O, Janzon L. A population-based screening of abdominal aortic aneurysms (AAA). Eur J Vasc Surg. 1991 Feb;5(1):53-7.

Jiang H, Sasaki T, Jin E, Kuzuya M, Cheng XW. Inflammatory Cells and Proteases in Abdominal Aortic Aneurysm and its Complications. Curr Drug Targets. 2018;19(11):1289-1296.

Xu C, Zarins CK, Glagov S. Aneurysmal and occlusive atherosclerosis of the human abdominal aorta. J. Vasc. Surg. 2001 Jan;33(1):91-6

Busuttil RW, Abou-Zamzam AM, Machleder HI. Collagenase activity of the human aorta. A comparison of patients with and without abdominal aortic aneurysms. Arch Surg. 1980 Nov;115(11):1373-8

Busuttil RW, Rinderbriecht H, Flesher A, Carmack C. Elastase activity: the role of elastase in aortic aneurysm formation. J. Surg. Res. 1982 Mar;32(3):214-7

Diagnosis and monitoring of abdominal aortic aneurysm: Current status and future prospects. Joseph V. Moxon, PhD,1 Adam Parr,1 Theophilus I. Emeto, MSc,1 Philip Walker, MS, FRACS,2 Paul E. Norman, DS, FRACS, FRCS,3 and Jonathan Golledge, MChir, FRACS, FRCS1,*

Understanding the pathogenesis of abdominal aortic aneurysms Helena Kuivaniemi, Evan J Ryer, James R Elmore & Gerard Tromp

Open and Endovascular Management of Aortic Aneurysms. Nicholas J. Swerdlow, Winona W. Wu, Marc L. Schermerhorn

Open versus Endovascular Repair of Abdominal Aortic Aneurysm. Frank A Lederle 1, Tassos C Kyriakides 1, Kevin T Stroupe 1, Julie A Freischlag 1, Frank T Padberg Jr 1, Jon S Matsumura 1, Zhiping Huo 1, Gary R Johnson 1, OVER Veterans Affairs Cooperative Study Group

Endovascular versus open repair of abdominal aortic aneurysm in 15-years' follow-up of the UK endovascular aneurysm repair trial 1 (EVAR trial 1): a randomised controlled trial. Rajesh Patel 1, Michael J Sweeting 2, Janet T Powell 1, Roger M Greenhalgh 3, EVAR trial investigators

Endovascular versus open repair of abdominal aortic aneurysm. United Kingdom EVAR Trial Investigators; Roger M Greenhalgh, Louise C Brown, Janet T Powell, Simon G Thompson, David Epstein, Mark J Sculpher

Long-term comparison of endovascular and open repair of abdominal aortic aneurysm. Frank A Lederle 1, Julie A Freischlag, Tassos C Kyriakides, Jon S Matsumura, Frank T Padberg Jr, Ted R Kohler, Panagiotis Kougias, Jessie M Jean-Claude, Dolores F Cikrit, Kathleen M Swanson, OVER Veterans Affairs Cooperative Study Group

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Published

2020-09-30

How to Cite

1.
KUŚ, Adrian, SZYPŁOWSKA, Małgorzata, OBEL, Michał, GORECKA, Adrianna and ZAREMBA, Bartłomiej. Comparison of treatment methods of abdominal aortic aneurysm (AAA) – review. Journal of Education, Health and Sport. Online. 30 September 2020. Vol. 10, no. 9, pp. 730-738. [Accessed 1 July 2025]. DOI 10.12775/JEHS.2020.10.09.088.
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Vol. 10 No. 9 (2020)

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Review Articles

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