Kim Hyangkyoung, Han Ahram, Noh Minsu, Choi Kyunghak, Park Sang Jun, Ahn Sanghyun, Choi Chanjoong, Bae Miju, Yang Shin-Seok, Cho Sungsin, Ko Hyunmin, Kim Hyokee, Choi Eol, Byun Eunae, Yun Woo-Sung, Jun Kang Woong
Department of Surgery, Ewha Womans University Medical Center, Ewha Womans University College of Medicine, Seoul, Korea.
Department of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Vasc Specialist Int. 2026 Jan 7;42:1. doi: 10.5758/vsi.250023.
These clinical practice guidelines (CPG) were developed by the Korean Society for Vascular Surgery to provide evidence-based recommendations for the management and post-treatment surveillance of abdominal aortic aneurysms (AAAs). The guidelines were developed by a multidisciplinary guideline working committee of 19 members, including vascular surgeons and methodological experts. A total of 18 key clinical questions focusing on AAA management and surveillance after treatment were selected. Based on systematic reviews and meta-analyses of the available literature, literature searches were performed in MEDLINE (via PubMed), EMBASE, Cochrane Central, and KoreaMed up to February 3, 2022. Additional searches for two questions were conducted in September 2022 and December 2023. Recommendations were formulated through structured evidence review and consensus, following a Cochrane-based grading system with modifications in terminology and structure. Eighteen recommendations were made, covering surgical indications, comparison of open surgical repair and endovascular aneurysm repair, postoperative complication management, and surveillance strategies. Each recommendation was assigned a strength (strong or conditional) and direction (do or do not), along with an evidence level (high, moderate, low, or very low). These CPGs provide a structured, evidence-based framework to guide clinical decision-making in the management of AAAs.
这些临床实践指南（CPG）由韩国血管外科学会制定，旨在为腹主动脉瘤（AAA）的管理和治疗后监测提供循证建议。该指南由一个由19名成员组成的多学科指南工作委员会制定，成员包括血管外科医生和方法学专家。总共选择了18个重点关注AAA治疗后管理和监测的关键临床问题。基于对现有文献的系统评价和荟萃分析，截至2022年2月3日，在MEDLINE（通过PubMed）、EMBASE、Cochrane Central和KoreaMed中进行了文献检索。2022年9月和2023年12月对其中两个问题进行了额外检索。建议是通过结构化的证据审查和共识制定的，遵循基于Cochrane的分级系统，并在术语和结构上进行了修改。共提出了18项建议，涵盖手术适应症、开放手术修复与血管内动脉瘤修复的比较、术后并发症管理和监测策略。每项建议都被赋予了一个强度（强或有条件）和方向（做或不做），以及一个证据水平（高、中、低或极低）。这些CPG提供了一个结构化的、循证的框架，以指导AAA管理中的临床决策。
