Behandeling van abdominaal aorta-aneurysma

Conflict of interest: none declared. Financial support: none declared.

• Due to lower peri-operative mortality, lower risk of complications and shorter duration of hospital stay, endovascular aneurysm repair has become preferential treatment for an infrarenal aortic aneurysm.

• Three randomised studies that compared endovascular repair with open repair now report follow-up data of an average of six years.

• The data shows a loss of peri-operative mortality advantage after two to three years. More re-interventions are performed following endovascular treatment.

• The predominant cause of death is due to cardiovascular events, for which optimal medical therapy is crucial.

• The initial mortality advantage of endovascular aneurysm repair compared to open repair is lost sooner in elderly and high-risk patients than in those patients who are relatively young and low-risk.