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How is an Aneurysm treated?

There are some criteria’s when it comes to having treatment for aneurysms, many patients with small aneurysms, and those are sizes below 5cm, can be watched, those that have a larger diameter, more than 5cm, most likely those patients will require an intervention or some sort of surgery, the indication to treat an aneurysm or repairing aneurysms according to the Society of Vascular Surgery is when the aneurysm reaches 5.5cm. There are some instances in which you have to proceed earlier and those are cases with good surgical risk, a strong family history of aneurysm, and also females we know now by studies that they can rupture at a smaller size, if the patient becomes symptomatic, that means they develop symptoms like back pains and has an aneurysm of less than 5cm it may need surgery as well. The surgeries, or the interventions could be minimally invasive which is becoming very popular now days, and it could also be an open repair. A minimally invasive technique, in many cases with visible anatomy and a good anatomy we can do this technique known as endovascular repair, we introduce in a very minimal invasive way this device known as an endograph, it’s a combination of a stent and a fabric that mostly what it does is exclude the aneurysm from the aortic flow, very successful with good outcomes, and also it makes the surgery on the patient’s body easier, the other technique if the patient doesn’t qualify for this is the traditional repair, in those cases, we open the aneurysm, remove it from the body, and then we stitch inside the aorta a device which is a graft, and that, even though is a more aggressive treatment, it’s been through the years a very durable technique with very outcomes as well.

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