Abdominal aortic aneurysm interventions: overview of systematic reviews

• Grant number: 16/24301-8
• Support Opportunities: Scholarships in Brazil - Scientific Initiation
• Start date: April 01, 2017
• End date: March 31, 2018
• Field of knowledge: Health Sciences - Medicine
• Principal Investigator: Rachel Riera
• Grantee: José Antonio Ribeiro Taveira
• Host Institution: Escola Paulista de Medicina (EPM). Universidade Federal de São Paulo (UNIFESP). Campus São Paulo. São Paulo , SP, Brazil

Abstract

Abdominal Aortic Aneurysms are local dilations in this artery, caused by its degeneration. The prevalence of this disease is up to 3 per cent in people over 50 years and between its risk factors there are: advanced age, male, caucasian, high BMI, heredity, and, mainly, smoking. They are usually asymptomatic until complications appear, being its rupture the most serious. The symptomatic aneurysms, the large sized and ruptured ones have surgical indication, that can be an open or endovascular surgery. The open surgery consists in aneurysmectomy followed by endoaneurysmorrhaphy, while in the endovascular surgery an endoprothesis is implanted, excluding the aneurysm from the circulation. As the aneurysms are potentially associated to high mortality rates and there are controversy in which clinical treatment to use and in what surgery to use in what moment, it is relevant to map and critically analyze the scientific evidence about the management of patients with abdominal aortic aneurysms. (AU)