Abdominal aortic aneurysms-open vs. endovascular treatment Decision-making from the perspective of the vascular surgeon

Clinical/methodical issue In the last 20 years, the treatment of abdominal aortic aneurysms has essentially evolved from surgical to minimally invasive endovascular treatment. Achievements There are still a number of clinical situations that make surgical intervention useful or even necessary. This underlines the importance of interdisciplinary vascular centers for the treatment of complex aortic pathologies and their sequelae. Practical recommendations In the following article, the arguments for the choice of procedure for the treatment of infrarenal aortic aneurysms are discussed and the recommendations of various guidelines are compared.

Automated summary

The treatment of abdominal aortic aneurysms has shifted from surgical to minimally invasive endovascular treatment over the past 20 years. However, there are still cases where surgical intervention is necessary. Therefore, interdisciplinary vascular centers play a crucial role in the treatment of complex aortic pathologies and their complications. This article discusses the arguments for choosing surgical procedures for the treatment of infrarenal aortic aneurysms and compares recommendations from various guidelines.