abdominal aortic aneurysm

Association between abdominal wall hernia and abdominal aortic aneurysm

n everyday clinical practice, an abdominal wall hernia (AWH) is rarely considered an expression or predictor of aortic aneurysmal disease; on the contrary, it should be. Actually, although rare, the association between primary AWH (including umbilical, paraumbilical, epigastric, Spigelian, inguinal and femoral hernia) and abdominal aortic aneurysm (AAA) represents a pathological duality which has drawn the attention of the medical community for the clinical originality of presentation and implication.

Short- and midterm outcomes of open repair and fenestrated endografting of pararenal aortic aneurysms in a concurrent propensity-adjusted comparison

Purpose: To compare outcomes of patients treated for pararenal aortic aneurysms using fenestrated endovascular aneurysm repair (fEVAR) vs open surgical repair (OSR) in 3 high-volume centers.
MATERIALS AND METHODS:

Preliminary results of endovascular aneurysm sealing from the multicenter Italian Research on Nellix Endoprosthesis (IRENE) study

Objective: Because of advances in technology and experience of the operator, endovascular aneurysm repair (EVAR) has supplanted open repair to treat abdominal aortic aneurysm (AAA). The low 30-day mortality and morbidity of EVAR make the endovascular approach particularly suitable for patients at high surgical risk. However, endoleak or endograft migration requiring secondary intervention or open surgical conversion is a limitation of EVAR. The Nellix system (Endologix, Inc, Irvine, Calif) has been designed to seal the entire AAA to overcome these limitations with EVAR.

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