Prevention of Aortic Aneurysm Rupture

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Prevention of Aortic Aneurysm Rupture

Management Overview

Class I
"1.2011 Updated Recommendation: Open or endovascular repair of infrarenal AAAs and/or common iliac aneurysms is indicated in patients who are good surgical candidates. (Level of Evidence: A)"
"2.2011 Updated Recommendation: Periodic long-term surveillance imaging should be performed to monitor for an endoleak, to document shrinkage or stability of the excluded aneurysm sac, and to determine the need for further intervention in patients who have undergone endovascular repair of infrarenal aortic and/or iliac aneurysms.(Level of Evidence: A) "
Class IIa
"1.2011 New Recommendation: Open aneurysm repair is reasonable to perform in patients who are good surgical candidates but who cannot comply with the periodic long-term surveillance required after endovascular repair. (Level of Evidence: C)"
Class IIb
"1.2011 New Recommendation: Endovascular repair of infrarenal aortic aneurysms in patients who are at high surgical or anesthetic risk as determined by the presence of coexisting severe cardiac, pulmonary, and/or renal disease is of uncertain effectiveness. (Level of Evidence: B)"

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