Abdominale und thorakale Aortenaneurysmen Endovaskuläre und offene Therapie

The indication to treat an aortic aneurysm or artic dissection by open or endovascular means is influenced by clinical signs, diameter, growth rate, individual life expectancy, morphology, co-morbidities, risk of the procedure and patient's preference. Due to good primary and mid-term outcomes, endovascular aortic repair (EVAR) is now accepted as an additional standard procedure in elective and emergency situations. In aortic centers meanwhile more than 2/3 of all patients with aortic aneurysms or dissections are treated by EVAR. Since additional procedures are necessary in about 10% of these patients long-term surveillance is mandatory.