Abstract
An abdominal aortic aneurysm (AAA) is one of the most common vascular conditions that results in death. The combined mortality rate for ruptured AAA is around 80% to 90%. This high mortality rate has not changed in the past two decades, despite improvements in perioperative management that have otherwise reduced mortality associated with elective surgeries to less than 5%. Outcomes are closely linked to patient selection, which is based on three factors: risk of rupture, risk of undergoing an operative procedure, and the patient’s life expectancy. Unfortunately, it is simply not possible to predict these factors for the specific patient. Endovascular aneurysm repair has revolutionized aortic repair and has become the first-line therapy, which follows a completely different workflow than open surgical repair, although sharing the same goal.
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