Treatment of abdominal aortic aneurysm in elderly men

Treatments for abdominal aortic aneurysms in older men include medication, interventional surgery, and open surgery. Abdominal aortic aneurysms are often caused by arteriosclerosis, hypertension, and genetic factors, so early detection and intervention are key.

1. Drug treatment: Drugs are mainly used to control blood pressure and reduce the risk of arteriosclerosis. Benazepril, amlodipine and atorvastatin are commonly used drugs that can effectively reduce the risk of further expansion of aneurysms. Patients need to monitor their blood pressure regularly and adjust the dosage of medication under the guidance of a doctor.

2. Interventional surgery: For abdominal aortic aneurysms with a diameter greater than 5 cm and at risk of rupture, interventional surgery is a common choice. Endovascular repair (EVAR) implants a stent through a catheter to seal the aneurysm and reduce blood flow pressure. This method has low trauma and fast recovery, and is suitable for elderly patients or patients with other diseases.

3. Open surgery: For patients with large tumors or complex anatomical structures, open surgery is a more thorough treatment method. The surgery involves cutting open the abdomen, removing the tumor, and implanting an artificial blood vessel. Although the surgery is riskier, it has better long-term results for young patients who are in good physical condition.

4. Lifestyle adjustment: Healthy living habits can help prevent and control the development of abdominal aortic aneurysms. Quitting smoking, eating a low-salt and low-fat diet, exercising moderately and maintaining a normal weight are key measures. Aerobic exercise such as walking and swimming can improve cardiovascular health, while avoiding strenuous exercise can prevent aneurysm rupture.

5. Regular screening: Elderly men, especially those with a family history or history of hypertension, should undergo regular abdominal ultrasound or CT examinations. Early detection and intervention can significantly reduce the risk of complications and improve treatment outcomes.

Treatment of abdominal aortic aneurysm in elderly men requires selection of appropriate treatment plans based on the patient's specific circumstances, combining medication, surgery, and lifestyle adjustments. Early detection and comprehensive management are the key to improving prognosis. Regular checkups and a healthy lifestyle can effectively reduce the risk of disease and improve quality of life.