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Revista Angiología H0076
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Guía clínica. Tratamiento endovascular del aneurisma de aorta abdominal


Publicado: 2021-05-05

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La publicación de la primera reparación endovascular de un aneurisma de aorta abdominal ha cumplido 20 a˜nos, y los estudios aleatorizados que comparan la cirugía abierta con la endovascular han completado los 10 a˜nos de seguimiento. La experiencia en la reparación endovascular ha crecido notablemente, así como su uso ampliado a anatomías complejas mediante endoprótesis estándar en unos casos o con fenestradas y/o ramificadas en otros. El empleo para aneurismas rotos se ha difundido, aunque su uso sistemático para ello cuenta aún con dificultades y diversos puntos de controversia que motivan estudios no aceptados por todos. Las novedades en nuevas endoprótesis son continuas, y actualmente asistimos a un boom de ofertas comerciales, frente a un reducido grupo establecido en el mercado desde hace a˜nos que, no obstante, también ha implementado modificaciones que deben demostrar su efectividad a largo plazo. Sociedades científicas internacionales destacadas en el ámbito europeo y mundial han publicado actualizaciones de sus guías entre 2010 e inicios de 2011, en un intento de plasmar la actualidad de un campo tan cambiante. En este momento parece razonable poner al día el documento publicado en el capítulo de Cirugía Endovascular de la Sociedad Espa˜nola de Angiología y Cirugía Vascular (SEACV), que pretende ser un documento de base que, manteniendo la esencia del original, incorpora novedades, puntos de debate y propuestas razonadas de mejora a partir de las que establecer un acuerdo global en la reparación endovascular de AAA, tanto en aspectos clínicos como técnicos. Por ello las recomendaciones son genéricas, a falta de un consenso explícito y recomendaciones oficiales emanadas de la sociedad científica que nos agrupa.

Palabras Clave: Aneurisma Aorta Abdominal. Aneurisma Aorta Abdominal/Diagnóstico. Reparación endovascular. Procedimientos endovasculares/Efectosadversos. Resultados tratamiento.



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