Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2885684 | Annals of Vascular Surgery | 2016 | 9 Pages |
Abstract
Polymyalgia rheumatica might induce an AEF as in this patient no other provoking factors were retained. The different therapeutic options all have their advantages and disadvantages. In line with this case, we suggest an individualized approach for AEFs. In case of precarious hemodynamical state or life expectancy, endovascular treatment is indicated. Afterward, the possibility and/or necessity of open repair should be discussed. For stable patients with respectable life expectancy in situ repair with autologuous vein or rifampicin-soaked prosthesis (adjusted to comorbidities) might be most appropriate. Extra-anatomic reconstruction still remains a valuable alternative in older patients and in the presence of any other local factors hampering in situ reconstruction.
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Authors
Bram Keunen, Sabrina Houthoofd, Kim Daenens, Jeroen Hendriks, Inge Fourneau,