In early 2024, the updated ESVS guidelines for the care of patients with aneurysms of the abdominal aorta and iliac arteries were published. A total of 160 recommendations were presented on the following topics: service standards, including surgical volume and training; epidemiology, diagnosis and screening; management of patients with small abdominal aortic aneurysms (AAA), including surveillance, cardiovascular risk reduction, and indications for treatment; elective AAA repair, including surgical risk assessment, open and endovascular surgery, as well as early complications; ruptured and symptomatic AAA, including perioperative management, such as permissive hypotension and use of aortic balloon occlusion, open and endovascular repair, as well as early complications; long-term results and follow-up after AAA surgery, including graft infection, endoleaks and subsequent procedures; management of complex AAA, including open and endovascular repair; treatment of iliac artery aneurysm, including indications for surgery; miscellaneous aortic problems, including mycotic, inflammatory and saccular aortic aneurysms. In addition, shared decision making is addressed, with supporting information for patients, and unresolved issues are discussed. Conclusion. The ESVS Clinical Practice Guidelines provide the most comprehensive, up-to-date, and unbiased advice to clinicians and patients on the management of AAA and iliac aneurysms. This article is an attempt to compare approaches to the treatment of patients with AAA under modern conditions in the Russian Federation to the concept proposed by the ESVS, with the aim of accelerating the development of domestic stent grafts.
Keywords: European guidelines on the management of abdominal aorto-iliac artery aneurysms; abdominal aortic aneurysms; clinical recommendations; stent grafts.
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