Abdominal Aortic Aneurysm

Abdominal aortic aneurysms (AAA) often grow slowly and are usually asymptomatic. AAA is usually detected incidentally during a scan performed for another reason. It is difficult to establish their prevalence.

Management of an AAA depends primarily on its size. Small and medium aneurysms (aortal diameters of 3–4.4 cm and 4.5–5.4 cm) are managed conservatively. When the aorta reaches a diameter of 5.5 cm (large aneurysm), a person is referred to a vascular surgeon.

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The Abdominal Aortic Aneurysm section is supported by Medtronic

Recent Videos


Population-level Study of AAA: What Are The Trends?

Indrani Sen,

Watch time: 6m 11s


VERVE 21: Excluder Conformable Stent Graft in the Treatment of AAAs

Robert Y Rhee,

Watch time: 5m 18s


Options During EVAR to Achieve a Durable Seal in the Iliac System

Ross Milner,

Watch time: 4m 41s


AAA-SHAPE Study Shows No Adverse Events With IMPEDE-FX Plug

Andrew Holden,

Watch time: 6m 15s


VERVE 2021: Internal Iliac Artery Preservation Improves QoL

Ta-Wei Su,

Watch time: 5m 50s


VEITHSymposium 2021: IOPS Endovascular Navigation System

Gustavo Oderich,

Watch time: 10m 2s
Efficiency of modified triple-branched stent graft in type I aortic dissection: two-year follow-up

Qiu ZH, Chen LW, Liao LM, et al. Ann Thorac Surg 2020;110:925–32.

Management of the aortic arch in patients with Loeys–Dietz syndrome

Schoenhoff FS, Alejo DE, Black JH, et al. J Thorac Cardiovasc Surg 2020;160:1166–75.

Long term outcomes of endovascular aortic repair in patients with abdominal aortic aneurysm and ectatic common iliac arteries

Gibello L, Varetto G, Ruffino MA, et al. Eur J Vasc Endovasc Surg 2020;60:356–64.

Aneurysm growth after endovascular sealing of abdominal aortic aneurysms (EVAS) with the Nellix endoprosthesis

Yafawi A, McWilliams RG, Fisher RK, et al. Eur J Vasc Endovasc Surg 2020;60:671–6.

Editor's choice – volume–outcome relationships in elective abdominal aortic aneurysm surgery: analysis of the UK Hospital Episodes Statistics database for the Getting It Right First Time (GIRFT) programme

Gray WK, Day J, Horrocks M. Eur J Vasc Endovasc Surg 2020;60:509–17.

The efficacy of a protocol of iliac artery and limb treatment during EVAR in minimising early and late iliac occlusion

Vacirca A, Faggioli G, Pini R, et al. Eur J Vasc Endovasc Surg 2020;60:663–70.

Use of the Ovation endograft system to treat abdominal aortic aneurysms with hostile anatomy

Morgan-Bates K, Chaudhuri A. Eur J Vasc Endovasc Surg 2020;60:786–7.

Survival after uncomplicated EVAR in octogenarians is similar to the general population of octogenarians without an abdominal aortic aneurysm

Rueda-Ochoa OL, van Bakel P, Hoeks SE, et al. Eur J Vasc Endovasc Surg 2020;59:740–7.

Index and follow-up costs of endovascular abdominal aortic aneurysm repair from the Endurant Stent Graft System Post Approval Study (ENGAGE PAS)

Li C, Deery SE, Eisenstein EL, et al. J Vasc Surg 2020.

Sex differences in perioperative outcomes after complex abdominal aortic aneurysm repair

de Guerre LEVM, Varkevisser RRB, Swerdlow NJ, et al. J Vasc Surg 2020;71:374–81.

Editor's choice – assessment of correlation between mean size of infrarenal abdominal aortic aneurysm at time of intact repair against repair and rupture rate in nine countries

Grima MJ, Behrendt CA, Vidal-Diez A, et al. Eur J Vasc Endovasc Surg 2020;59:890–7.

Analysis of the Differences Between the ESVS 2019 and NICE 2020 Guidelines for Abdominal Aortic Aneurysm

Powell JT, Wanhainen A. Eur J Vasc Endovasc Surg 2020;60:7–15.

Editor's choice – short term and long term outcomes after endovascular or open repair for ruptured infrarenal abdominal aortic aneurysms in the vascular quality initiative

D'Oria M, Hanson KT, Shermerhorn M, et al. Eur J Vasc Endovasc Surg 2020;59:703–16.

Endovascular Aneurysm Repair Using Anaconda Repositionable Aortic Stent Graft Assisted Exclusively by Intravascular Ultrasound Imaging

Vascular & Endovascular Review 2019;2(1):32–7.

Treatment of Abdominal Aortic Aneurysms, Comparison of Endovascular and Surgical Retroperitoneal Approaches

Radcliffe Cardiology 2003:50-3

Best practice guidelines: imaging surveillance after endovascular aneurysm repair

Smith T, Quencer KB. AJR Am J Roentgenol 2020;214:1165–74.

Expert opinion on hostile neck definition in endovascular treatment of abdominal aortic aneurysms (a Delphi Consensus)

Marone EM, Freyrie A, Ruotolo C, et al. Ann Vasc Surg 2020;62:173–82.

Type II endoleaks after EVAR: a literature review of current concepts

Gonzalez-Urquijo M, Lozano-Balderas G, Fabiani MA. Vasc Endovascular Surg 2020;54:718–24.

Endovascular aortic repair with the "Step-by-Step" deployment of the endurant stent-graft system in severe neck angulation: technique and review of the literature

Tasselli S, Wassermann V, Raunig I, et al. Ann Vasc Surg 2020;68:553–8.

Outcomes of endosutured aneurysm repair with the Heli-FX EndoAnchor implants

Karaolanis G, Antonopoulos CN, Koutsias S, et al. Vascular 2020;28:568–76.

Prognostic significance of aneurysm sac shrinkage after endovascular aneurysm repair

Antoniou GA, Alfahad A, Antoniou SA, Torella F. J Endovasc Ther 2020;27:857–68.

Editor's choice – comprehensive literature review of radiation levels during endovascular aortic repair in cathlabs and operating theatres

Hertault A, Bianchini A, Amiot S, et al. Eur J Vasc Endovasc Surg 2020;60:374–85.

Systematic review and meta-analysis of outcomes of open and endovascular repair of ruptured abdominal aortic aneurysm in patients with hostile vs. friendly aortic anatomy

Kontopodis N, Tavlas E, Ioannou CV, et al. Eur J Vasc Endovasc Surg 2020;59:717–28.

Meta-analysis and meta-regression analysis of outcomes of endovascular and open repair for ruptured abdominal aortic aneurysm

Kontopodis N, Galanakis N, Antoniou SA, et al. Eur J Vasc Endovasc Surg 2020;59:399–410.

Long term outcomes of endovascular vs open surgical repair for abdominal aortic aneurysms: a meta-analysis of randomized trials

Giannopoulos S, Kokkinidis DG, Armstrong EJ. Cardiovasc Revasc Med 2020.

Background and Proposed Design for a Metformin Abdominal Aortic Aneurysm Suppression Trial

Vascular & Endovascular Review 2020;3:e08.

Incisional Hernia Following Open Abdominal Aortic Aneurysm Repair: A Contemporary Review of Risk Factors and Prevention

Vascular & Endovascular Review 2020;3:e01.

The Fate of the Superior Mesenteric Artery in Fenestrated Endovascular Repair of Complex Abdominal Aortic Aneurysms

Vascular & Endovascular Review 2019;2(1):38–9.

Insights and Clinical Implications from the pELVIS Registry for the Treatment of Aneurysms Involving the Iliac Bifurcation

Vascular & Endovascular Review 2019;2(1):9–11.

Ruptured abdominal aortic aneurysm in a patient with right pelvic kidney and previous left nephrectomy

Dimic A, Sladojevic M. Eur J Vasc Endovasc Surg 2020;60:593.

Treatment of a type II endoleak by outflow occlusion

Kluckner M, Frech A. Eur J Vasc Endovasc Surg 2020;60:346.

Type II endoleak involving an accessory renal artery and the inferior mesenteric artery

Loffroy R, Midulla M. Eur J Vasc Endovasc Surg 2020;60:460.

Endovascular exclusion of tears in visceral segment in aortic dissection with endografts in false lumen and visceral artery

Zeng Z, Feng R. Eur J Vasc Endovasc Surg 2020;60:480.

Parallel grafts to treat juxtarenal aneurysms using the Ovation stent graft system

Kontopodis N, Ioannou CV. Eur J Vasc Endovasc Surg 2020;60:479.

Continued haemorrhage due to type II endoleak after EVAR for ruptured abdominal aortic aneurysm necessitating open conversion

Mathisen SR. Eur J Vasc Endovasc Surg 2020;60:612.

Endovascular abdominal aortic aneurysm repair preserving a right crossed unfused inferior ectopic kidney

Bernard C, Steinmetz E. Eur J Vasc Endovasc Surg 2020;60:538.

Chimney endovascular aneurysm repair from below

Pilz da Cunha G, Lemmens CC, Mees BME. Eur J Vasc Endovasc Surg 2020;60:780.

Don't miss the follow up

Salomon du Mont L, Rinckenbach S. Eur J Vasc Endovasc Surg 2020;60:719.

Leukocyte subsets and abdominal aortic aneurysms detected by screening in men

Langenskiöld M, Smidfelt K, Nordanstig J, et al. J Intern Med 2020.

Incidence, natural course, and outcome of type II endoleaks in infrarenal endovascular aneurysm repair based on the ENGAGE registry data

Dijkstra ML, Zeebregts CJ, Verhagen HJM, et al. J Vasc Surg 2020;71:780–9.

Long-term results after standard endovascular aneurysm repair with the Endurant and Excluder stent grafts

Oliveira-Pinto J, Oliveira NFG, Bastos-Gonçalves FM, et al. J Vasc Surg 2020;71:64–74.

Impact of endovascular repair on the outcomes of octogenarians with ruptured abdominal aortic aneurysms: a nationwide Japanese study

Yamaguchi T, Nakai M, Sumita Y, et al. Eur J Vasc Endovasc Surg 2020;59:219–25.

Importance of Follow-up Imaging in the Detection of Delayed Type 2 Endoleaks Despite Complete Aneurysmal Sac Shrinkage

Vascular & Endovascular Review 2019;2(1):53–5.

Combined Less-invasive Surgical and Endovascular Technique to Minimise Operative Trauma and Treat Excessive Aortoiliac Thrombotic Obliteration with Popliteo-crural Involvement and Acute Limb Ischaemia

Vascular & Endovascular Review 2019;2(1):45–7.

An Ilio-iliac Arteriovenous Fistula Following Spontaneous Rupture of a Right Common Iliac Artery Aneurysm

Vascular & Endovascular Review 2018;1(1):30–2.

NICE guidelines for AAA repair: an enigma

Sultan S, Veith FJ, Ascher E, et al. J Endovasc Ther 2020;27:869–70.

Treatment of aortic aneurysms during the COVID-19 pandemic: time to abandon the NICE guidelines

McGreevy DT, Hörer TM. J Endovasc Ther 2020;27:979.

EVAR: better off awake?

Bidd H, Lyons O. Eur J Vasc Endovasc Surg 2020;59:739.

Open versus endovascular repair of aortic aneurysms

The Lancet. Lancet 2020;395:1090.

NICE abdominal aortic aneurysm guidelines finally published: how will they influence aortic practice in the UK and beyond?

Loftus IM, Haulon S, Boyle JR. Eur J Vasc Endovasc Surg 2020;59:697–8.

Rupture EVAR – it's a kind of magic!

Mani K, Luccia ND, Wanhainen A. Eur J Vasc Endovasc Surg 2020;59:701–2.

Endovascular infrarenal aortic aneurysm repair performed in a hybrid operating room versus conventional operating room using a C-arm

Martínez LI, Esteban C, Riera C, et al. Ann Vasc Surg 2020;69:366–72.

Image-based displacements analysis and computational blood dynamics after endovascular aneurysm repair

Domanin M, Piazzoli G, Trimarchi S, Vergara C. Ann Vasc Surg 2020;69:400–12.

Ultrasound-guided fascia closure as bailout technique for large-bore percutaneous femoral access failure: report of two cases

Baldino G, Rossi UG, Di Gregorio S, Gori A. J Vasc Access 2020;21:769–72.

Feasibility and safety of sac embolization using N-butyl cyanoacrylate in emergency endovascular aneurysm repair for ruptured abdominal aortic aneurysms or isolated iliac artery aneurysms

Ohba S, Shimohira M, Hashizume T, et al. J Endovasc Ther 2020;27:828–35.

Comparison of abdominal aortic aneurysm sac and neck wall motion with 4D ultrasound imaging

Derwich W, Wittek A, Hegner A, et al. Eur J Vasc Endovasc Surg 2020;60:539–47.

Readmission and re-intervention are better measures of EVAR quality

Singh AA, Boyle JR. Eur J Vasc Endovasc Surg 2020;60:518.

Diagnostic accuracy of PET/CT and contrast enhanced CT in patients with suspected infected aortic aneurysms

Husmann L, Huellner MW, Ledergerber B, et al. Eur J Vasc Endovasc Surg 2020;59:972–81.

Endovascular treatment of a chronically thrombosed abdominal aortic aneurysm: technical considerations

Karkos CD, Asaloumidis N, Mitka M, et al. Ann Vasc Surg 2020;64:409.E1-409.E5.

Comparison of endovascular aneurysm sealing and repair with respect to contrast use and radiation in comparable patient cohorts

Peters AS, Hatzl J, Bischoff MS, Böckler D. J Cardiovasc Surg (Torino) 2020;61:67–72.