Division of Vascular Surgery, University of Washington, 1959 NE Pacific Street, Box 356410, Seattle, WA 98195.
Division of Vascular Surgery, University of Washington, 1959 NE Pacific Street, Box 356410, Seattle, WA 98195.
Semin Vasc Surg. 2024 Jun;37(2):218-223. doi: 10.1053/j.semvascsurg.2024.05.001. Epub 2024 May 4.
There is variation in the management of small aneurysms in the United States today, with some surgeons moving forward with elective repair and others practice ongoing surveillance. Literature exists to suggest that small aneurysms are repaired at a higher rate than should be considered acceptable, and this represents a deviation from current standards of care. To best understand the optimal care of this patient population, this article aims to evaluate the current management of small aneurysms, review contemporary guidelines and the literature behind them, and assess the appropriateness of surgical management of small aneurysms.
目前美国对小型动脉瘤的治疗存在差异,一些外科医生倾向于选择择期修复,而另一些医生则持续进行监测。有文献表明,小型动脉瘤的修复率高于被认为可以接受的水平,这偏离了当前的护理标准。为了更好地了解这类患者群体的最佳护理方法,本文旨在评估小型动脉瘤的当前治疗方法,回顾相关指南和其背后的文献,并评估小型动脉瘤手术治疗的恰当性。