Surgical outcomes and indications for saccular abdominal aortic aneurysm repair: a systematic review
Resultados cirúrgicos e indicações para o reparo de aneurismas saculares da aorta abdominal: revisão sistemática
João Alfredo Schiewe; Victoria Lebedenco Barbosa; João Eduardo Herrero Lima; André Brusamolin Moro; Victor Johanes Seidel; Livia Hoyer Garcia Miranda; Francisco José Fernandes Alves; Jeferson Freitas Toregeani
Abstract
Keywords
Resumo
As indicações cirúrgicas para o reparo de aneurismas saculares da aorta abdominal ainda carecem de evidências satisfatórias, e o risco de ruptura dessas lesões tem sido questionado. Esta revisão sistemática avaliou os resultados cirúrgicos após o reparo dessa condição. Foram incluídos oito estudos, totalizando 540 pacientes, sendo o reparo endovascular a técnica mais utilizada. Complicações ocorreram em 18,99% dos casos, enquanto a taxa de desfechos cirúrgicos desfavoráveis foi de 3,15%. As comorbidades cardíacas e pulmonares foram as mais prevalentes entre os pacientes. Aneurismas com diâmetros menores apresentaram menos complicações e resultados cirúrgicos desfavoráveis em comparação aos de maior diâmetro. O limiar ideal para a indicação cirúrgica ainda é incerto. Embora o diâmetro seja um indicador importante, outros fatores devem ser considerados na decisão terapêutica. Aneurismas saculares devem ser tratados eletivamente em estágios mais precoces, devido ao risco incerto de ruptura e à maior incidência de complicações quando operados em diâmetros avançados. Novas pesquisas são necessárias para estabelecer diretrizes claras para o tratamento dessa condição.
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Referências
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Submetido em:
20/11/2024
Aceito em:
13/03/2025
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