Open vs. endovascular aneurysm repair in the 60-year-old man against the backdrop of the UK’s proposed NICE guidelines

“The best treatment for a 60-year-old man with an infrarenal abdominal aortic aneurysm that is above the threshold for intervention is arguably surgery based on the durability of this intervention. However, operating at this age (where open surgery is a good option) is unusual in the UK and the majority of patients who present with an aneurysm are older and less fit. This is the group that do benefit from EVAR as long as they are anatomically suitable. I do not agree with the UK’s proposed draft NICE guidelines because they do not make allowance for consideration of anatomy,” says Michael Jenkins (St Mary’s Hospital, London, UK) at the London Aortic Symposium 2018, where this topic was debated. The expected publication date for the NICE Guidelines in the UK on abdominal aortic aneurysm diagnosis and management has been deferred from November to December 2018.

Jenkins, Michael

Appointed as a consultant to St Mary’s and Chelsea and Westminster hospitals in 2001, Michael Jenkins has since developed both a local and a national tertiary referral practice. Jenkins currently serves on the council of the Vascular Society of Great Britain and Ireland, is chairman of the Circulation Foundation and is President of the British Society of Endovascular Therapy. Expertise include: Aortic aneurysms, stroke and carotid disease, claudication, diabetic foot, varicose veins, carotid surgery, stroke prevention.

Add comment

Editor’s Aortic Pick

    Subscribeto receive the very best in medical videos