Tratamiento endovascular del aneurisma de aorta abdominal

Abstract

It is now twenty years since the publication of the first endovascular repair of an abdominal aortic aneurysm, and randomised studies comparing open surgery with endovascular surgery have completed 10 years of follow-up. Experience in endovascular repair has markedly increased, as well its widened use in complex anatomies using standard endoprosthesis in some cases, or fenestrated and/or branched in others. The use for ruptured aneurysms has spread, although its systematic use still for this still has difficulties and several points of controversy due to studies not accepted by everyone. The innovations in new stents are continuous, and we are currently experiencing a boom in commercial offer, due to a reduced group established in the market for years. These, however, have also implemented changes that still are to show their effectiveness in the long term. International scientific groups in Europe and worldwide have published updates of their guidelines between 2010 and the beginning of 2011, in an attempt to reflect the current situation in such a changing field. Up to this point, it seems reasonable to update the document published by the Endovascular Chapter of the Spanish Angiology and Vascular Surgery (SEACV), which attempts to be a reference document, that while maintaining the essence of the original, includes innovations, points for debate and reasoned proposals for improvement, from which to establish an overall agreement on the repair of abdominal aortic aneurysms, in both the clinical and technical aspects. For this reason the recommendations are generic, lack a clear consensus and official recommendations by the Scientific Society to which we belong. ?? 2011 SEACV.