COMPARISON OF THE ENDOVASCULAR APPROACH IN RELATION TO OPEN SURGERY IN THE TREATMENT OF AORTIC ANEURYSMS: AN INTEGRATIVE REVIEW
The treatment of aortic aneurysms represents a significant clinical challenge, with the choice between an endovascular approach and open surgery being a crucial decision. This integrative review aims to evaluate the effectiveness of these two therapeutic approaches in the management of aortic aneurysms, based on a comprehensive analysis of the available scientific literature. We performed a systematic search in the PubMed and Scielo databases, using the descriptors "aortic aneurysm," "endovascular aneurysm repair," "conversion to open surgery," and "efficacy." Inclusion criteria were studies published between 2009 and 2023 that investigated the effectiveness of these approaches in terms of clinical outcomes and survival. Analysis of selected studies revealed that endovascular treatment has consistently emerged as an effective alternative to open surgery in the treatment of aortic aneurysms. The success rate was satisfactory, and postoperative complications were significantly reduced with the endovascular approach. Furthermore, analysis of long-term outcomes demonstrated comparable results regarding repair survival and durability. This integrative review highlights the relevance of the careful choice between an endovascular approach and open surgery for the treatment of aortic aneurysms. Although both options have demonstrated effectiveness, selection must be based on an individualized assessment of the patient, considering comorbidities and preferences. Clinical guidelines represent a valuable tool to guide this decision making. Ultimately, this review emphasizes the importance of a personalized approach in the management of aortic aneurysms, with promising results for both therapeutic approaches.
COMPARISON OF THE ENDOVASCULAR APPROACH IN RELATION TO OPEN SURGERY IN THE TREATMENT OF AORTIC ANEURYSMS: AN INTEGRATIVE REVIEW
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DOI: 10.22533/at.ed.1593742318093
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Palavras-chave: aortic aneurysm, endovascular aneurysm repair, conversion to open surgery and efficacy.
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Keywords: aortic aneurysm, endovascular aneurysm repair, conversion to open surgery and efficacy.
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Abstract:
The treatment of aortic aneurysms represents a significant clinical challenge, with the choice between an endovascular approach and open surgery being a crucial decision. This integrative review aims to evaluate the effectiveness of these two therapeutic approaches in the management of aortic aneurysms, based on a comprehensive analysis of the available scientific literature. We performed a systematic search in the PubMed and Scielo databases, using the descriptors "aortic aneurysm," "endovascular aneurysm repair," "conversion to open surgery," and "efficacy." Inclusion criteria were studies published between 2009 and 2023 that investigated the effectiveness of these approaches in terms of clinical outcomes and survival. Analysis of selected studies revealed that endovascular treatment has consistently emerged as an effective alternative to open surgery in the treatment of aortic aneurysms. The success rate was satisfactory, and postoperative complications were significantly reduced with the endovascular approach. Furthermore, analysis of long-term outcomes demonstrated comparable results regarding repair survival and durability. This integrative review highlights the relevance of the careful choice between an endovascular approach and open surgery for the treatment of aortic aneurysms. Although both options have demonstrated effectiveness, selection must be based on an individualized assessment of the patient, considering comorbidities and preferences. Clinical guidelines represent a valuable tool to guide this decision making. Ultimately, this review emphasizes the importance of a personalized approach in the management of aortic aneurysms, with promising results for both therapeutic approaches.
- Letícia Margon Manzini de Souza
