Nationally recognized for his experience and leadership in the field of vascular surgery, K. Craig Kent, MD, A.R. Curreri Professor of Surgery and Chairman of the University of Wisconsin Department of Surgery, was invited to write about the diagnosis and treatment of abdominal aortic aneurysms for the New England Journal of Medicine’s Clinical Practice section. His article appeared in the November 27, 2014, issue. This disorder claims the lives of up to 30,000 Americans each year, but stronger recommendations for screening and advanced techniques for repair are improving care for patients who suffer from this condition.
“This is an important but less well-known disease that leads to death in as many individuals in this country as breast cancer,” Dr. Kent says. “It is important that patients as well as their doctors understand that aneurysms can be detected by screening and that early treatment can be lifesaving.”
In the article “Abdominal Aortic Aneurysms” Dr. Kent presents a case vignette highlighting a patient with an abdominal aortic aneurysm, evidence supporting various treatment strategies, a review of the formal guidelines, and his clinical recommendations. In his discussion of the two approaches to repairing aneurysms — open repair and the minimally invasive endovascular repair — Dr. Kent details the factors that determine a patient’s suitability for each technique. “The choice of treatment is complex and should be made by an experienced surgeon with consideration of the patient’s overall condition and preference,” he states.
With 600,000 readers in nearly every country in the world, the New England Journal of Medicine is the most widely read, cited and influential general medical journal in the world. Its Clinical Practice articles are evidence-based, peer-reviewed pieces that distill years of clinical investigation and experience to offer a complete description of diagnostic and treatment strategies, therapeutic options, areas of uncertainty, and treatment guidelines.