An international, expert-based, Delphi consensus document on controversial issues in the management of abdominal aortic aneurysms

Data de publicação: Data Ahead of Print:

Autores da FMUP

  • Armando Amilcar Pires Mansilha Rodrigues De Almeida

    Autor

Participantes de fora da FMUP

  • Paraskevas K.I.
  • Schermerhorn M.L.
  • Haulon S.
  • Beck A.W.
  • Verhagen H.J.M.
  • Lee J.T.
  • Verhoeven E.L.G.
  • Blankensteijn J.D.
  • Kölbel T.
  • Lyden S.P.
  • Clair D.G.
  • Faggioli G.
  • Bisdas T.
  • D'Oria M.
  • Mani K.
  • Sörelius K.
  • Gallitto E.
  • Fernandes e Fernandes J.
  • Katsargyris A.
  • Lepidi S.
  • Vacirca A.
  • Myrcha P.
  • Koelemay M.J.W.
  • Zeebregts C.J.
  • Pini R.
  • Dias N.V.
  • Karelis A.
  • Bosiers M.J.
  • Stone D.H.
  • Venermo M.
  • Farber M.A.
  • Blecha M.
  • Melissano G.
  • Riambau V.
  • Eagleton M.J.
  • Gargiulo M.
  • Scali S.T.
  • Torsello G.B.
  • Eskandari M.K.
  • Perler B.A.
  • Gloviczki P.
  • Malas M.
  • Dalman R.L.

Unidades de investigação

Abstract

Objective: As a result of conflicting, inadequate or controversial data in the literature, several issues concerning the management of patients with abdominal aortic aneurysms (AAAs) remain unanswered. The aim of this international, expert-based Delphi consensus document was to provide some guidance for clinicians on these controversial topics. Methods: A three-round Delphi consensus document was produced with 44 experts on 6 prespecified topics regarding the management of AAAs. All answers were provided anonymously. The response rate for each round was 100%. Results: Most participants (42 of 44 [95.4%]) agreed that a minimum case volume per year is essential (or probably essential) for a center to offer open or endovascular AAA repair (EVAR). Furthermore, 33 of 44 (75.0%) believed that AAA screening programs are (probably) still clinically effective and cost effective. Additionally, most panelists (36 of 44 [81.9%]) voted that surveillance after EVAR should be (or should probably be) lifelong. Finally, 35 of 44 participants (79.7%) thought that women smokers should (or should probably/possibly) be considered for screening at 65 years of age, similar to men. No consensus was achieved regarding lowering the threshold for AAA repair and the need for deep venous thrombosis prophylaxis in patients undergoing EVAR. Conclusions: This expert-based Delphi consensus document provides guidance for clinicians regarding specific unresolved issues. Consensus could not be achieved on some topics, highlighting the need for further research in those areas. © 2024 Society for Vascular Surgery

Copyright © 2024 Society for Vascular Surgery. All rights reserved.

Dados da publicação

ISSN/ISSNe:
1097-6809, 0741-5214

Journal of Vascular Surgery  Mosby Inc.

Tipo:
Review
Páginas:
-
Link para outro recurso:
www.scopus.com

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Keywords

  • abdominal aortic aneurysm; consensus; deep vein thrombosis; disease management; drug therapy; female; human; male; open surgery; review; smoking; surgery; surgical mortality; therapy; thrombosis prevention; vascular surgery

Financiamento

Proyectos asociados

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Estudo Clínico Académico (diabetic foot) . 2021

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Estudo Clínico Académico . 2021

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Estudo Clínico Académico . 2021

Carotid Artery Atherosclerotic Disease: Timing of Intervention, Procedural Outcomes and Patient Reported Outcome Measures

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Estudo Clínico Académico . 2023

Endovascular Aneurysm Repair - Strategies and Outcomes in Hostile Anatomies

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Estudo Clínico Académico . 2022

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