Manejo del aneurisma de la aorta abdominal: Estado actual, evidencias y perspectivas para el desarrollo de un programa nacional

Open and endovascular surgery are therapeutic alternatives for the treatment of abdominal aortic aneurism. The development of guidelines for its treatment requires a thorough analysis of available evidence to recommend the best treatment for each country's reality. Prospective randomized trials...

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Autores principales:	Mariné M,Leopoldo, Valdés E,Francisco, Mertens M,Renato, Krämer Sch,Albrecht, Bergoeing R,Michel, Rivera D,Dixiana, Vergara G,Jeanette, Carvajal N,Claudia
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2009
Materias:	Aortic aneurysm abdominal Blood vessel prothesis Surgical procedures operative
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000800013
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spelling	oai:scielo:S0034-988720090008000132009-11-04Manejo del aneurisma de la aorta abdominal: Estado actual, evidencias y perspectivas para el desarrollo de un programa nacionalMariné M,LeopoldoValdés E,FranciscoMertens M,RenatoKrämer Sch,AlbrechtBergoeing R,MichelRivera D,DixianaVergara G,JeanetteCarvajal N,Claudia Aortic aneurysm abdominal Blood vessel prothesis Surgical procedures operative Open and endovascular surgery are therapeutic alternatives for the treatment of abdominal aortic aneurism. The development of guidelines for its treatment requires a thorough analysis of available evidence to recommend the best treatment for each country's reality. Prospective randomized trials have shown best initial results with endovascular surgery, with higher hospital costs than open surgery. The requirement of anatomical suitability for the placement of endovascular prostheses limits the universal use of endovascular surgery. Moreover, this type of surgery needs a strict imaging and clinical follow up due to the high rates of late complications, which range from 20% to 40%. Many of these complications require further surgical interventions, elevating costs of treatment. The initial benefit of endovascular surgery is lost during long follow up as survival curves become similar to those of open surgery. Even for patients with a high surgical risk, the benefits of endovascular surgery are doubtful.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.137 n.8 20092009-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000800013es10.4067/S0034-98872009000800013
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Aortic aneurysm abdominal Blood vessel prothesis Surgical procedures operative
spellingShingle	Aortic aneurysm abdominal Blood vessel prothesis Surgical procedures operative Mariné M,Leopoldo Valdés E,Francisco Mertens M,Renato Krämer Sch,Albrecht Bergoeing R,Michel Rivera D,Dixiana Vergara G,Jeanette Carvajal N,Claudia Manejo del aneurisma de la aorta abdominal: Estado actual, evidencias y perspectivas para el desarrollo de un programa nacional
description	Open and endovascular surgery are therapeutic alternatives for the treatment of abdominal aortic aneurism. The development of guidelines for its treatment requires a thorough analysis of available evidence to recommend the best treatment for each country's reality. Prospective randomized trials have shown best initial results with endovascular surgery, with higher hospital costs than open surgery. The requirement of anatomical suitability for the placement of endovascular prostheses limits the universal use of endovascular surgery. Moreover, this type of surgery needs a strict imaging and clinical follow up due to the high rates of late complications, which range from 20% to 40%. Many of these complications require further surgical interventions, elevating costs of treatment. The initial benefit of endovascular surgery is lost during long follow up as survival curves become similar to those of open surgery. Even for patients with a high surgical risk, the benefits of endovascular surgery are doubtful.
author	Mariné M,Leopoldo Valdés E,Francisco Mertens M,Renato Krämer Sch,Albrecht Bergoeing R,Michel Rivera D,Dixiana Vergara G,Jeanette Carvajal N,Claudia
author_facet	Mariné M,Leopoldo Valdés E,Francisco Mertens M,Renato Krämer Sch,Albrecht Bergoeing R,Michel Rivera D,Dixiana Vergara G,Jeanette Carvajal N,Claudia
author_sort	Mariné M,Leopoldo
title	Manejo del aneurisma de la aorta abdominal: Estado actual, evidencias y perspectivas para el desarrollo de un programa nacional
title_short	Manejo del aneurisma de la aorta abdominal: Estado actual, evidencias y perspectivas para el desarrollo de un programa nacional
title_full	Manejo del aneurisma de la aorta abdominal: Estado actual, evidencias y perspectivas para el desarrollo de un programa nacional
title_fullStr	Manejo del aneurisma de la aorta abdominal: Estado actual, evidencias y perspectivas para el desarrollo de un programa nacional
title_full_unstemmed	Manejo del aneurisma de la aorta abdominal: Estado actual, evidencias y perspectivas para el desarrollo de un programa nacional
title_sort	manejo del aneurisma de la aorta abdominal: estado actual, evidencias y perspectivas para el desarrollo de un programa nacional
publisher	Sociedad Médica de Santiago
publishDate	2009
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000800013
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Manejo del aneurisma de la aorta abdominal: Estado actual, evidencias y perspectivas para el desarrollo de un programa nacional

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