transmedТрансляционная медицинаTranslational Medicine2311-44952410-5155Almazov National Medical Research Centre, Saint Petersburg, Russia10.18705/2311-4495-2017-4-4-14-22transmed-285Research ArticleСЕРДЕЧНО-СОСУДИСТЫЕ ЗАБОЛЕВАНИЯCARDIOVASCULAR MEDICINEСОВРЕМЕННЫЕ АСПЕКТЫ ХИРУРГИИ АНЕВРИЗМ ИНФРАРЕНАЛЬНОГО ОТДЕЛА АОРТЫMODERN ASPECTS OF ABDOMINAL AORTIC ANEURYSM SURGERY (REVIEW)ЗвереваЕ. Д.ZverevaE. D.

аспирант кафедры хирургических болезней, врач сердечно-сосудистый хирург,

ул. Аккуратова, д. 2, Санкт-Петербург, 197341

MD, PhD student, department of surgical disease,

Akkuratova str. 2, Saint Petersburg, 197341

katerina_zvereva@icloud.comЗверевД. А.ZverevD. A.

к.м.н., заведующий НИЛ интервенционной кардиологии, доцент кафедры хирургических болезней,

Санкт-Петербург

MD, PhD, head of research department of interventional cardiology,

Saint Petersburg

dmitry_zverev@rambler.ruГордеевМ. Л.GordeevM. L.

д.м.н., профессор, зав. научно-исследовательским отделом кардиоторакальной хирургии, зав. кафедрой сердечно-сосудистой хирургии,

Санкт-Петербург

MD, PhD, professor, head of research department of cardovascular surgery and cardiothoracic surgery,

Saint Petersburg

mgordeev@clubcvs.ruФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр им. В. А. Алмазова» Минздрава РоссииРоссияAlmazov National Medical Research CentreRussian Federation201702102017441422Copyright © Зверева Е.Д., Зверев Д.А., Гордеев М.Л., 20172017Зверева Е.Д., Зверев Д.А., Гордеев М.Л.Zvereva E.D., Zverev D.A., Gordeev M.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://transmed.almazovcentre.ru/jour/article/view/285

В течение последних двух десятилетий произошел качественный скачок развития в эндоваскулярных технологиях лечения пациентов с аневризмой брюшного отдела аорты (AБA). Сегодня эндоваскулярный метод лечения (EVAR) считается методом выбора для большинства пациентов с АБА. Рандомизированные контролируемые исследования предоставили убедительные доказательства преимущества EVAR. Однако, несмотря на это, результаты лечения методом EVAR варьируются и некоторые аспекты требуют дальнейшего изучения, например, роль медикаментозной терапии в лечении АБА, показания к операции у женщин и у пожилых пациентов, долгосрочное наблюдение за пациентами после EVAR, возможность одномоментного стентирования почечных артерий, целесообразность EVAR при диссекциях АБА. В предлагаемой к вниманию статье рассматривается современный взгляд на проблему и предлагается обзор исследований по EVAR.

During the last two decades, endovascular technology has revolutionized the management of patients with abdominal aortic aneurysm (AAA). Today, endovascular aortic repair (EVAR) is the treatment of choice for the majority of patients with an AAA. Randomized controlled trials provide robust evidence for the indication of AAA repair and the rationale for the use of EVAR in selected patients. However, despite that, practice varies and several areas need further elucidation. Important future challenges and areas of research include the role of medical therapy in AAA, whether the indication for repair should be any different in women and in the elderly, and long-term follow-up of patients undergoing complex EVAR with adjuncts, both for elective treatment and for ruptured AAA. Continuous rapid technical and clinical development is to be expected. In this paper, we review the current practice and evidence of stenting in AAA.

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The authors declare that there are no conflicts of interest present.