What is the treatment of abdominal aortic aneurysm?

March 11 21:14 2019 Print This Article

There are many treatments available for this condition. It includes the conservative, surgery and medicine.

The surveillance must also be done. The repair of aneurysm can be of two types which involve the open and endo vascular aneurysm repair which is referred as an OR and EVAR. If the size of aneurysm is more than 1 cm per year or more than 5.5 cm an intervention is needed. The repair is also indicated for the symptomatic aneurysm.

In the conservative treatment the patients who have high chances of mortality along with the repair for them it is not going to be effective treatment. The smoking cessation is a vital step to control this condition conservatively. The aneurysm which are smaller in size that is less than 5.5 cm a surveillance is required in which the risk of repair is more than the risk of rupture. The aneurysm which have size that is equal to 5.5 cm and surveillance is also required in which the risk of repair is not more than the risk of rupture.

The repair threshold is not constant and is different in the different individuals. It depends on the risks and benefits associated with the repair as compared to the surveillance. The size of aorta along with the increase in risk and decrease in the life expectancy play a crucial role in deciding this condition. There is no specific medical therapy which is effective in the treatment of this condition. It does not have any impact on the growth rate and rupture rate of asymptomatic triple a condition.

The atherosclerosis condition also constitutes the high blood pressure and lipids. The protective effects in some cases have been seen in the statins, beta blockers and angiotensin converting enzyme inhibitors. In the surgery the open repair is done in the young patients. It is an effective measure and is an elective procedure. It is helpful in the large aneurysms. It was the main type of treatment until the mid 1950 when there was no other treatment available.

In the 1990s the endo vascular repair came into the existence and has now become the main stay of surgery. Its role is not clear yet and is done in the old age patients. It also involves the high risk patients in which the open repair is not a suitable treatment to be done. The endovascular repair is feasible in only some cases of triple a as they depend on the morphology of the aneurysm. It leads to less of preoperative mortality and decreases the time in the intensive care.

So, overall the time spend in the hospital is less and the person becomes normal soon. There are certain disadvantages of this type of repair as the patient has to go to hospital for many reviews and there are more chances of the further treatment. The EVAR procedure of treatment does not affect the overall health and well being of the individual. While open surgery does provide these benefits. In the individuals where the open repair is not feasible the EVAR along with the conservative management did not provide much relief. It is associated with the high cost, more complications as compared to the other methods. The endo vascular treatment after the aortobiiliac reconstruction is also a possibility.

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