An international, expert-based, Delphi consensus document on controversial issues in the management of abdominal aortic aneurysms

Paraskevas, Kosmas I.; Schermerhorn, Marc L.; Haulon, Stephan; Beck, Adam W.; Verhagen, Hence J. M.; Lee, Jason T.; Verhoeven, Eric L. G.; Blankensteijn, Jan D.; Kölbel, Tilo; Lyden, Sean P.; Clair, Daniel G.; Faggioli, Gianluca; Bisdas, Theodosios; D'Oria, Mario; Mani, Kevin; Sörelius, Karl; Gallitto, Enrico; Fernandes E Fernandes, Jose; Katsargyris, Athanasios; Lepidi, Sandro; Vacirca, Andrea; Myrcha, Piotr; Koelemay, Mark J. W.; Mansilha, Armando; Zeebregts, Clark J.; Pini, Rodolfo; Dias, Nuno V.; Karelis, Angelos; Bosiers, Michel J.; Stone, David H.; Venermo, Maarit; Farber, Mark A.; Blecha, Matthew; Melissano, Germano; Riambau, Vincent; Eagleton, Matthew J.; Gargiulo, Mauro; Scali, Salvatore T.; Torsello, Giovanni B.; Eskandari, Mark K.; Perler, Bruce A.; Gloviczki, Peter; Malas, Mahmoud; Dalman, Ronald L.

doi:10.1016/j.jvs.2024.08.012

Objective: As a result of conflicting, inadequate or controversial data in the literature, several issues concerning the management of patients with abdominal aortic aneurysms (AAAs) remain unanswered. The aim of this international, expert-based Delphi consensus document was to provide some guidance for clinicians on these controversial topics. Methods: A three-round Delphi consensus document was produced with 44 experts on 6 prespecified topics regarding the management of AAAs. All answers were provided anonymously. The response rate for each round was 100%. Results: Most participants (42 of 44 [95.4%]) agreed that a minimum case volume per year is essential (or probably essential) for a center to offer open or endovascular AAA repair (EVAR). Furthermore, 33 of 44 (75.0%) believed that AAA screening programs are (probably) still clinically effective and cost effective. Additionally, most panelists (36 of 44 [81.9%]) voted that surveillance after EVAR should be (or should probably be) lifelong. Finally, 35 of

An international, expert-based, Delphi consensus document on controversial issues in the management of abdominal aortic aneurysms / Paraskevas, Kosmas I.; Schermerhorn, Marc L.; Haulon, Stephan; Beck, Adam W.; Verhagen, Hence J. M.; Lee, Jason T.; Verhoeven, Eric L. G.; Blankensteijn, Jan D.; Kölbel, Tilo; Lyden, Sean P.; Clair, Daniel G.; Faggioli, Gianluca; Bisdas, Theodosios; D'Oria, Mario; Mani, Kevin; Sörelius, Karl; Gallitto, Enrico; Fernandes E Fernandes, Jose; Katsargyris, Athanasios; Lepidi, Sandro; Vacirca, Andrea; Myrcha, Piotr; Koelemay, Mark J. W.; Mansilha, Armando; Zeebregts, Clark J.; Pini, Rodolfo; Dias, Nuno V.; Karelis, Angelos; Bosiers, Michel J.; Stone, David H.; Venermo, Maarit; Farber, Mark A.; Blecha, Matthew; Melissano, Germano; Riambau, Vincent; Eagleton, Matthew J.; Gargiulo, Mauro; Scali, Salvatore T.; Torsello, Giovanni B.; Eskandari, Mark K.; Perler, Bruce A.; Gloviczki, Peter; Malas, Mahmoud; Dalman, Ronald L.. - In: JOURNAL OF VASCULAR SURGERY. - ISSN 0741-5214. - 81:2(2025), pp. 483-492. [10.1016/j.jvs.2024.08.012]