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Review
. 2021 Sep;31(9):319-325.
doi: 10.1177/1750458920947352. Epub 2020 Sep 8.

Abdominal aortic aneurysms part two: Surgical management, postoperative complications and surveillance

Harry Kyriacou  1 , Ahmed M H A M Mostafa  1 , Anoop S Sumal  1 , Holly N Hellawell  1 , Jonathan R Boyle  2
Affiliations
Review

Abdominal aortic aneurysms part two: Surgical management, postoperative complications and surveillance

Harry Kyriacou et al. J Perioper Pract. 2021 Sep.

Abstract

Large, symptomatic and ruptured abdominal aortic aneurysms are usually treated surgically if patients are deemed fit enough. This may be achieved through endovascular or open surgical repair. The type of treatment that a patient receives is dependant on many factors, such as the rupture status of the aneurysm. Each approach is also associated with different risks and postoperative complications. Multiple guidelines exist to inform the surgical management of abdominal aortic aneurysms. This literature review combines these recommendations and explores the evidence upon which they are based. In addition, it highlights the key perioperative considerations that need to be considered in cases of unruptured and ruptured abdominal aortic aneurysms.

Keywords: Abdominal aortic aneurysm; Cardiovascular disease; Complications; Surveillance; Vascular surgery.

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Figures

Figure 1
Figure 1
Surgical repair of AAAs. (a) Cross section of an AAA treated via EVAR. (b) OSR
Figure 2
Figure 2
Types of endoleak. (I) Type I: blood flowing into the AAA because of an incomplete/ineffective seal. (II) Type II: retrograde blood flow into the AAA from side branches. (III) Type III: blood flowing into the AAA through endograft defects. (IV) Type IV: blood flowing into the AAA through the stent–graft fabric. (V) Type V: AAA expansion without radiographic evidence of a leak site. Definitions based on NICE 2020
See this image and copyright information in PMC

References

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