Aneurysm: Therapy

General measures

  • Nicotine restriction (refraining from tobacco use).
  • Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day).
  • Moderate physical activity has a preventive effect on the progression (progression) of atherosclerotic (arteriosclerosis-related) aneurysms.
  • Competitive sports should be refrained from (from an aortic diameter > 4 cm!).
  • Review of permanent medication due topossible effect on the existing disease.

General notes

  • Elimination of abdominal aortic aneurysm should be performed if the aneurysm is
    • > 0.5 cm grows in six months
    • Has a diameter > 5.5 cm

Surgical/interventional therapy – aneurysm of brain-supplying vessels

  • Coiling – closure of the aneurysm with platinum coils advanced into the affected artery via the inguinal artery

A detailed risk-benefit assessment should precede the procedure.

Surgical/interventional therapy – aortic aneurysm

  • Insertion of a stent prosthesis
  • EVAR (endovascular aneurysm repair).
  • Open aortic surgery