Guidelines for Aortic Aneurysm and Aortic Dissection in Japan: Abdominal Aorta

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  • Banno Hiroshi
    Division of Vascular Surgery, Department of Surgery, Nagoya University Graduate School of Medicine

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  • 2020年改訂版大動脈瘤・大動脈解離診療ガイドライン—腹部—

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<p>The guidelines for aortic aneurysm and aortic dissection in Japan have been revised for the first time in 9 years since the previous guidelines. This manuscript not only focuses on changes in the abdominal area from the previous guidelines but also describes the comparison with the US and European guidelines for abdominal aortic aneurysm (AAA) that have been revised recently (2017 Society for Vascular Surgery, 2019 European Society for Vascular Surgery). According to the guidelines, this manuscript includes screening, surveillance, medical treatment for cardiovascular risk management of patients with AAA, and surgical treatment such as EVAR (Endovascular aortic repair) and open surgical repair. In the last decade, the endovascular treatment for the aortic disease has been developed dramatically, and its indication has expanded, but on the other hand, there have been a series of reports on the problems of its long-term results. The treatment strategy for the patient with AAA must be determined in consideration of early and long-term outcomes.</p>

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