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- W4317627153 abstract "We read with interest the letter from Hanna et al. from Imperial College in London. We fully agree that estimating aneurysm rupture risk is clearly more complex than just measuring the anteroposterior diameter of an aneurysm. Hanna et al. outline a number of wall biomechanical metrics that may, indeed, be better tools. In addition, there are probably several genetic and inflammatory pathways that affect rupture risk. Our editorial does not dispute this, but it questions just a few of the very simplistic facts that currently dictate AAA management: how to measure diameter and how to estimate rupture risk clinically. We look forward to reading future publications from Hanna et al. on the topic and commend their timely support of our editorial in the quest for better AAA management. Risk Prediction for Abdominal Aortic Aneurysms: One Size Does Not Fit All. Is it Time to go with the Flow of Hotspots?European Journal of Vascular and Endovascular SurgeryVol. 65Issue 4PreviewResch and Eiberg have detailed the evidence behind the ≥ 5.5 cm diameter repair threshold for abdominal aortic aneurysms (AAAs).1 The premise behind this is Laplace’s law. However, this is only applicable to cylindrical or spherical structures with a single radius of curvature without inflow and outflow channels, and fails to consider the complex asymmetric AAA geometry and internal haemodynamic environment that leads to biomechanical failure and rupture. Other limitations include measurement error and failure to consider individual risk. Full-Text PDF" @default.
- W4317627153 created "2023-01-21" @default.
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- W4317627153 date "2023-04-01" @default.
- W4317627153 modified "2023-09-23" @default.
- W4317627153 title "Response to “Risk prediction for Abdominal Aortic Aneurysms: onesize does not fit all - is it time to go with the flow of hotspots? Hanna et al. Eur J Vasc Endovasc Surg 2022; 65 [e-pub ahead of print]”" @default.
- W4317627153 doi "https://doi.org/10.1016/j.ejvs.2023.01.023" @default.
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