Open research questions in Aortic aneurysm repair treatments
299 gap statements mined from Aortic aneurysm repair treatments papers in our 7.9M-paper local library, which holds 1,925 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
Although succinate has been linked to vascular diseases, its regulation within the aorta and potential involvement in AAA remain unclear.
Identification of a pathological feed‐forward loop linking succinate, HIF1α signalling and vascular remodelling in abdominal aortic aneurysm · 2026 · DOICoherent real-world data on stroke risk after EVAR, stratified by the proximal landing zone, and the impact of perioperative stroke on mid-term survival are scarce.
However, its prognostic value in patients undergoing endovascular aortic repair (EVAR) for abdominal aortic aneurysm (AAA) remains unclear.
Prognostic Utility of Perivascular Adipose Tissue Attenuation in Patients Undergoing Endovascular Aneurysm Repair for Abdominal Aortic Aneurysms · 2026 · DOIIntravenous thrombolysis is the standard treatment for acute ischemic stroke (AIS), but its safety in patients with a history of abdominal aortic aneurysm (AAA) repair remains unclear.
Safety of thrombolysis in acute ischemic stroke patients with previous aortic abdominal aneurysm repair · 2025 · DOIInformation on the predictive determinants of abdominal aortic aneurysm rupture from CT angiography are scarce.
Peak wall rupture index is associated with risk of rupture of abdominal aortic aneurysms, independent of size and sex · 2024 · DOIBlood pressure variability (BPV) has emerged as an important cardiovascular risk factor, yet its relationship with AAA growth has not been investigated.
624 A Retrospective Review of Blood Pressure Variability (BPV) and Abdominal Aortic Aneurysm (AAA) · 2024 · DOIBlood pressure (BP) is considered a contributor to AAA formation, but the association with AAA growth remains unclear.
624 A Retrospective Review of Blood Pressure Variability (BPV) and Abdominal Aortic Aneurysm (AAA) · 2024 · DOIThis study has several limitations. We acknowledge, however, that heatmaps show where the model “looked” without explaining biological significance—a direct pathophysiological link that remains elusive and requires future histopathological or biomechanical correlation.
A multimodal deep learning model for predicting impending rupture in symptomatic abdominal aortic aneurysms using CTA and clinical data · 2026 · DOIThere is a lack of awareness about vascular causes of atypical lower gastrointestinal bleeding. Rupture of a superior rectal artery aneurysm is a rare condition that needs to be considered.
The lack of effective medical therapy for AAA remains a major clinical challenge. The mechanisms underlying AAA progression are not fully understood. The role of macrophage-derived CCL20-CCR6 signaling in AAA is not well characterized.
Macrophage-derived CCL20–CCR6 signaling as a driver of immune recruitment in abdominal aortic aneurysm · 2026 · DOIFuture research should incorporate process evaluations, explore optimal timing and intensity of information delivery, and consider the use of more sensitive, condition-specific outcome measures.
Impact of nurse-led postoperative education on health outcomes following endovascular aortic repair: a randomized trial · 2026 · DOIThere is a need to evaluate the association of preoperative morphometric and morphovolumetric parameters with post-EVAR sac remodeling, endoleak development, and secondary interventions.
Post-EVAR Endoleaks: A Morphovolumetric Approach to Prediction, Surveillance, and Management · 2026 · DOIData privacy is a significant challenge in the application of artificial intelligence in aortic aneurysm management. Algorithmic bias and model transparency are also challenges that need to be addressed. Clinician acceptance is another challenge that can impact the adoption of artificial intelligence in the field.
Artificial Intelligence in Aorta Aneurysm Management: Translational Applications and Limits · 2026 · DOIThe current management approach for aortic aneurysms is based on the maximum aortic diameter, which fails to capture the biological and biomechanical complexity of the disease. There is a need for reliable methods to integrate diameter-based criteria into complication risk assessment and timing of elective repair. The application of artificial intelligence has the potential to address this gap.
Artificial Intelligence in Aorta Aneurysm Management: Translational Applications and Limits · 2026 · DOIRegarding the aortic endograft, there is still no consensus about the optimal management of the type II endoleak due to lumbar branches that allow retrograde flow into the aneurysm. The simultaneous approach contributed to an early postoperative recovery in the first case, where the evolution was uneventful with available follow-up, although longer-term follow-up data remain limited.
Management of severe symptomatic aortic stenosis and concomitant large abdominal aortic aneurysm in high-risk patients: Review of literature and case series · 2026 · DOIHowever, long-term outcomes remain uncertain. Still, randomized comparative trials and longer-term follow-up data are lacking.
Delayed disaster: a case report on the limits of MFM® therapy in complex aortic aneurysms · 2026 · DOIFurther studies are needed to confirm the findings and explore the underlying mechanisms. Future research should investigate the long-term outcomes of patients undergoing EVAR or TEVAR for ruptured aortic aneurysms. The development of personalized anesthesia strategies based on patient characteristics is an area for future research.
Anesthesia Strategy and Clinical Outcomes in Ruptured Aortic Aneurysm Repair: Insights from EVAR and TEVAR · 2026 · DOIThe impact of different anesthesia methods on clinical outcomes in patients treated with EVAR or TEVAR for ruptured abdominal or thoracic aortic aneurysms is not well understood. There is a need to investigate the association between anesthesia choice, patient characteristics, and clinical results.
Anesthesia Strategy and Clinical Outcomes in Ruptured Aortic Aneurysm Repair: Insights from EVAR and TEVAR · 2026 · DOIYet, the relationship of adipose tissue to TLS and B-cell responses is poorly understood.
Spatial multi-omics reveals novel vascular adipocyte and B cell biology in human abdominal aortic aneurysm · 2026 · DOIRespiratory parameters from the anesthesia machine were unavailable and not incorporated into the study, and their potential impact on PIS cannot be ruled out.
Developing a practical machine learning model to predict post implantation syndrome after endovascular aneurysm repair · 2026 · DOIThe specific mechanism of the difference in PIS incidence between cisatracurium (18%) and rocuronium (4.8%) needs further prospective research to verify.
Developing a practical machine learning model to predict post implantation syndrome after endovascular aneurysm repair · 2026 · DOIMitochondrial dysfunction in the aortic wall is linked to AAA pathobiology. Current treatments do not address mitochondrial dysfunction.
However, the pooled mean IMA diameter does not account for baseline differences in study demographics nor other potential confounding factors.
Predictive value of inferior mesenteric artery size in type 2 endoleak after endovascular abdominal aortic aneurysm repair—a systematic review and meta-analysis · 2026 · DOIExpanding sample sizes through large-scale, multicenter clinical studies. Integrating multiomics approaches to better understand the immune mechanisms of the CCL20-CCR6 axis. Translating the results into clinical practice through extensive clinical trials.
Macrophage-derived CCL20–CCR6 signaling as a driver of immune recruitment in abdominal aortic aneurysm · 2026 · DOIThe coexistence of a congenital pelvic kidney and an aortoiliac aneurysm is a rare medical condition with limited documented cases - Current treatment options have…
Customized stent graft implantation for the management of an aortoiliac aneurysm in a patient with congenital pelvic kidney — case report · 2026 · DOI
Most-cited papers in Aortic aneurysm repair treatments
- A Randomized Trial Comparing Conventional and Endovascular Repair of Abdominal Aortic Aneurysms · New England Journal of Medicine · 2004 · 1,750 citations
- Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial · The Lancet · 2004 · 1,706 citations
- Endovascular aneurysm repair versus open repair in patients with abdominal aortic aneurysm (EVAR trial 1): randomised controlled trial · The Lancet · 2005 · 1,311 citations
- Editor's Choice -- European Society for Vascular Surgery (ESVS) 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms · European Journal of Vascular and Endovascular Surgery · 2024 · 1,046 citations
- Outcomes Following Endovascular vs Open Repair of Abdominal Aortic Aneurysm<subtitle>A Randomized Trial</subtitle> · JAMA · 2009 · 950 citations
- The Aneurysm Detection and Management Study Screening Program · Archives of Internal Medicine · 2000 · 612 citations
- Reporting standards for endovascular aortic repair of aneurysms involving the renal-mesenteric arteries · Journal of Vascular Surgery · 2020 · 601 citations
- Prevalence of and Risk Factors for Abdominal Aortic Aneurysms in a Population-based Study : The Tromso Study · American Journal of Epidemiology · 2001 · 515 citations
- Role of Matrix Metalloproteinases in Abdominal Aortic Aneurysmsa · Annals of the New York Academy of Sciences · 1996 · 264 citations
- Aneurysms of the Abdominal Aorta in Older Adults · American Journal of Epidemiology · 1995 · 251 citations
Most recent work
- Cellular Heterogeneity in Aortic Aneurysm and Dissection: Molecular Mechanisms and Therapeutic Opportunities · Circulation Research · 2026
- Long Term Target Vessel Outcomes in Patients Treated with Fenestrated Endovascular Aortic Repair · European Journal of Vascular and Endovascular Surgery · 2026
- Evaluation of sac volume regression after aortic aneurysm sac embolization with shape memory polymer plugs in patients undergoing endovascular aneurysm repair · Journal of Vascular Surgery · 2026
- Emerging Mechanisms of Abdominal Aortic Aneurysm · Current Atherosclerosis Reports · 2026
- The Metabolite Differences in Vascular Smooth Muscle Cells of Abdominal Aortic Aneurysm Revealed by Untargeted Metabolomics · Biomedicines · 2026
- Multi-class segmentation of aortic branches and zones in computed tomography angiography: The AortaSeg24 challenge · Medical Image Analysis · 2026
- Open surgical conversion after endovascular aneurysm repair in Japan: Indications and outcomes from a multicenter study (JAST-CONVERT) · Journal of Vascular Surgery · 2026
- Contemporary outcomes of open conversion after failed endovascular aortic aneurysm repair from a high-volume aortic center · Journal of Vascular Surgery · 2026
- Lipoprotein(a) Is Associated With Increased Risk of Abdominal Aortic Aneurysm · JACC Basic to Translational Science · 2026
- ACADM-mediated fatty acid β-oxidation pathway in atherosclerosis and abdominal aortic aneurysm · European Heart Journal · 2026
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