Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, 110 Francis Street, Suite 5B, Boston, MA 02215.
Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, 110 Francis Street, Suite 5B, Boston, MA 02215.
Semin Vasc Surg. 2021 Mar;34(1):29-37. doi: 10.1053/j.semvascsurg.2021.02.004. Epub 2021 Feb 6.
Abdominal aortic aneurysm (AAA) disease remains a major source of morbidity in developed countries and can progress to life-threatening rupture if left untreated, with exceedingly high mortality. The goal of AAA management is to identify and electively repair AAAs before rupture. AAA disease burden and outcomes have improved over time with declining tobacco use and advancements in care across patients' disease course. The introduction of endovascular AAA repair, in particular, has allowed for elective AAA repair in patients previously considered too high risk for open surgery and has contributed to lower rates of AAA rupture over time. However, these improved outcomes are not universally experienced, and disparities continue to exist in the detection, treatment, and outcomes of AAA by sex, race, and ethnicity. Mitigating these disparities requires enhanced, focused efforts at preventing disease, promoting health, and delivering appropriate care among an increasingly diverse patient population.
腹主动脉瘤（AAA）疾病仍然是发达国家发病率的主要来源，如果不治疗，可能会发展为危及生命的破裂，死亡率极高。AAA 管理的目标是在破裂前识别和选择性修复 AAA。随着烟草使用的减少和患者疾病过程中护理水平的提高，AAA 疾病负担和结果得到了改善。特别是血管内 AAA 修复的引入，使得以前被认为开放手术风险过高的患者能够进行选择性 AAA 修复，并且随着时间的推移，AAA 破裂的发生率也有所降低。然而，这些改善的结果并非普遍存在，在 AAA 的检测、治疗和结果方面，性别、种族和民族之间仍然存在差异。减轻这些差异需要在预防疾病、促进健康和为日益多样化的患者群体提供适当护理方面做出更大、更有针对性的努力。
