Angiotensin-converting Enzyme Inhibitors are Superior to Beta Blockers in Preventing Mortality and Aneurysmal Rupture Following Open and Endovascular Aneurysm Repair

Abstract

Optimal blood pressure control following endovascular (EVAR) or open abdominal aneurysm repair (OAR) is crucial in reducing post repair complications. In hospital continuation of preoperative beta blocker (BB) has shown a significant reduction in postoperative mortality following repair. Although treatment with angiotensin converting enzyme inhibitors (ACEIs) is associated with a reduction in mortality among patients with abdominal aortic aneurysms (AAAs) regardless of repair status. Nevertheless, the best medical therapy to control hypertension following AAA repair is yet to be determined.