Endovascular treatment of aneurysm

Endovascular treatment of aneurysm means the avoiding general anesthesia, transperitoneal laparotomy, involving a relatively extensive dissection of the soft tissue, aortic clamping, as well as significant blood loss requiring transfusions and the associated risks.

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What factors are fundamental to successful aneurysm operation?

Abdominal aortic aneurysm is an extremely serious health condition – that is actually life-threatening – so as soon as a vascular surgeon has made a decision to treat an aneurysm by surgery, this should actually be accomplished in the near few hours. Treatment of individuals affected by aortic aneurysm is dependent upon a wide variety of factors. Especially all risk factors should be carefully analyzed when a surgeon made a decision to use such approach known as elective vascular surgery, so that not every clinic can provide an availability of high dependency and intensive care facilities.

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Aneurysm Surgery

If you’ve come here looking for information on aneurysm surgery, chances are you are probably aware of the term ‘Aneurysm‘.

In case you haven’t, Aneurysm is a condition that involves bulging of a portion of a blood vessel in our body. The common place in human body where aneurysm condition occurs usually is an aorta. The aorta is one of the largest blood vessels in the body.

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Ultrasound in endovascular treatment

Radiological imaging is used in pre-operative planning of endovascular aneurysm repair (EVAR) and for intra-operative guidance and control. In pre-operative planning, imaging is used to get a measure of the 3D anatomy for investigating eligibility of EVAR and for choosing or customizing stentgrafts. A standard image scanning technique for this specific aim is computed tomography arteriography. CT has the advantage of visualizing the entire anatomical area of interest. Transabdominal 3-dimensional ultrasound imagining provides simply a minimal sector, and also, additionally, some useful information of the relevant body anatomy will be hidden by acoustical shadows or absorption during ultrasound.

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Detection and monitoring of abdominal aortic aneurysm

Aortic aneurysm is most often asymptomatic until rupture, and coincidentally detected during examination for other diseases. Ultrasound has been recommended for detection of AAA in symptomatic patients and for asymptomatic patients in risk groups. A number of studies suggest that population screening reduces AAA mortality in subgroups with increased AAA susceptibility. Screening may still represent an ethical dilemma because growth and rupture is difficult to predict, and it is therefore disputable when to recommend repair on a patient-specific basis, considering the risk involved in surgical or endovascular treatment.

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