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小的腹主动脉瘤:到目前为止有什么变化吗?

Small abdominal aortic aneurysms: Has anything changed so far?

机构信息

First Propedeutic Department of Surgery, National and Kapodistrian University of Athens, Hippocration Hospital, 114 Vasilissis Sofias Avenue, 11527 Athens, Greece.

First Propedeutic Department of Surgery, National and Kapodistrian University of Athens, Hippocration Hospital, 114 Vasilissis Sofias Avenue, 11527 Athens, Greece.

出版信息

Trends Cardiovasc Med. 2020 Nov;30(8):500-504. doi: 10.1016/j.tcm.2019.11.006. Epub 2019 Nov 26.

Abstract

The proper management of small abdominal aortic aneurysms (AAAs), namely those under the threshold of 5.5 cm in diameter, has been under investigation for years. Risk of rupture for this group of AAAs is higher than the general population, although it remains low enough not to require a repair. However, specific factors have been associated with increased expansion or rupture rate, and these factors could identify potential candidates for earlier intervention. This review aims to collect and present all available data on the development and progress of small AAAs. Moreover, recommendations on proper management are discussed as well.

摘要

小型腹主动脉瘤(AAA)的恰当管理,即那些直径小于 5.5 厘米的动脉瘤,多年来一直受到研究。尽管这类 AAA 的破裂风险仍然足够低,不需要进行修复,但对于这一组 AAA 来说,破裂风险高于一般人群。然而,一些特定的因素与更大的扩张或破裂率相关,这些因素可以确定更早期干预的潜在候选者。这篇综述旨在收集和呈现所有关于小型 AAA 的发展和进展的可用数据。此外,还讨论了适当的管理建议。

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