ABDOMINAL AORTIC-ANEURYSMS

ABDOMINAL AORTIC-ANEURYSMS
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DOI:
10.1097/00001573-199409000-00013
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发表时间:
1994-09-01
影响因子:
2.3
通讯作者:
WHITTEMORE, AD
WHITTEMORE, AD
中科院分区:
医学4区
文献类型:
--
作者:
BELKIN, M;DONALDSON, MC;WHITTEMORE, AD

文献摘要

被引文献

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腹主动脉瘤的治疗在过去三十年中经历了巨大的演变,导致我们在诊断和安全治疗动脉瘤患者的能力方面取得了重大进步。在过去的几年里,大多数研究兴趣集中在动脉瘤疾病的病因、新的成像技术、心脏风险分层和新的治疗方法上。本文综述了目前腹主动脉瘤患者的诊断和治疗方法,以及可预期的结果。与未破裂的主动脉瘤的治疗形成鲜明对比的是,破裂动脉瘤的治疗进展甚微,而破裂的动脉瘤仍然具有很高的致命性。早期识别、及时评估和手术修复仍然是预防死亡的最重要因素。
The management of abdominal aortic aneurysms has undergone tremendous evolution during the past three decades, resulting in significant advances in our ability to diagnose and safely treat patients with aneurysms. Over the past several years, most research interest has been focused on the etiology of aneurysmal disease, new imaging techniques, cardiac risk stratification, and new approaches for treatment. This article reviews the current approach to diagnosing and treating patients with abdominal aortic aneurysms as well as the results which may be anticipated. In stark contrast to the treatment of nonruptured aortic aneurysms, little progress has been made in the management of ruptured aneurysms, which remain highly lethal. Early identification, prompt evaluation, and surgical repair remain the most important elements in preventing mortality.