New evidence has implicated the gut microbial metabolite in yet another cardiometabolic disease. The findings raise prospects of new TMAO-related avenues for diagnosing and treating aortic aneurysms.
Platelet Olfactory Receptor Identified as Possible AAA Biomarker and Treatment Target
Blocking a newly discovered olfactory membrane receptor has been shown to reduce platelet reactivity in abdominal aortic aneurysms (AAAs), raising the prospect of therapeutic targeting to stop AAA progression.
Case Study: When Lung Transplant Evaluation Reveals a Large Abdominal Aortic Aneurysm
Lung transplant evaluation in a 55-year-old with severe idiopathic pulmonary fibrosis brings to light a 6.2-cm abdominal aortic aneurysm. Can aneurysm repair safely be done before transplant?
Guidance for Surveillance of Isolated Common Iliac Artery and Small Abdominal Aortic Aneurysms
Two new studies suggest that many aortoiliac aneurysms are slow-growing and can safely be monitored every three years with duplex ultrasound.
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Standardizing Methods Is Key to Making Aortic Dmax Measures More Accurate and Reproducible
Accurate and reproducible measurement of the maximum diameter of abdominal aortic aneurysms is achievable with advancements in CT angiography. Now standardization of methods should be the goal.
In Open AAA Repair, Acute Normovolemic Hemodilution Offers Advantages Over Standard Transfusions
A new retrospective study supports the utility of blood conservation through acute normovolemic hemodilution in an additional surgical setting: open repair of abdominal aortic aneurysms.
Meta-Analysis Links Wide Aortic Necks to Worse Outcomes Following Endovascular Aneurysm Repair
Aortic neck diameter is among the most important predictors of success in endovascular repair of abdominal aortic aneurysms, concludes a new meta-analysis.
30 Years of EVAR: Roots of the Pivotal Endovascular Procedure Reach Back to Cleveland Clinic
2020 marks the 30th anniversary of the first successful human endovascular aneurysm repair, performed by Juan Parodi, MD. We look back on his early work on EVAR while a trainee at Cleveland Clinic and ahead to the procedure’s continuing evolution.
Analysis Shows Dramatic Declines in Open Vascular Surgery Training in U.S.
Training opportunities in open repair are diminishing across all areas of vascular surgery, but especially for abdominal aortic aneurysms. The authors of this study propose solutions for reversing the trend.
In Abdominal Aortic Aneurysm, Antiplatelets Seem to Guard Against Aortic Dissection and Rupture
A national database analysis suggests that antiplatelet drugs may play a protective role in cases of AAA before surgery is warranted. The authors outline next research steps.