scholarly journals Trans-Atlantic Debate: Does Endovascular Repair Offers a Survival Advantage over Open Repair for Ruptured Abdominal Aortic Aneurysms?

2015 ◽  
Vol 49 (2) ◽  
pp. 127-128 ◽  
Author(s):  
T.L. Forbes ◽  
A.R. Naylor
Keyword(s):  
Endovascular Repair ◽  
Open Repair ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Survival Advantage ◽  
Abdominal Aortic ◽  
Ruptured Abdominal Aortic Aneurysms

Endovascular Repair Versus Open Repair of Ruptured Abdominal Aortic Aneurysms

2013 ◽  
Vol 258 (2) ◽  
pp. 248-256 ◽  
Author(s):  
Jorik J. Reimerink ◽  
Liselot L. Hoornweg ◽  
Anco C. Vahl ◽  
Willem Wisselink ◽  
Ted A. A. van den Broek ◽  
...  
Keyword(s):  
Endovascular Repair ◽  
Open Repair ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Abdominal Aortic ◽  
Ruptured Abdominal Aortic Aneurysms

scholarly journals Endovascular repair of ruptured abdominal aortic aneurysms does not reduce later mortality compared with open repair

2016 ◽  
Vol 63 (3) ◽  
pp. 617-624 ◽  
Author(s):  
William P. Robinson ◽  
Andres Schanzer ◽  
Francesco A. Aiello ◽  
Julie Flahive ◽  
Jessica P. Simons ◽  
...  
Keyword(s):  
Endovascular Repair ◽  
Open Repair ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Abdominal Aortic ◽  
Ruptured Abdominal Aortic Aneurysms

Endovascular Repair of Ruptured Abdominal Aortic Aneurysms: Logistics and Short-Term Results

2003 ◽  
Vol 10 (3) ◽  
pp. 440-446 ◽  
Author(s):  
Timothy Resch ◽  
Martin Malina ◽  
Bengt Lindblad ◽  
Nuno V. Dias ◽  
Björn Sonesson ◽  
...  
Keyword(s):  
Endovascular Repair ◽  
Open Repair ◽  
Operating Time ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Short Term ◽  
Duration Of Symptoms ◽  
Abdominal Aortic ◽  
Significant Difference ◽  
Ruptured Abdominal Aortic Aneurysms

Purpose: To report our experience in establishing a treatment protocol for endovascular aneurysm repair (EVAR) of ruptured abdominal aortic aneurysms (rAAA), including an investigation of the reasons for patient exclusion and a report of our short-term results. Methods: Between 1997 and July 2002, 21 patients with rAAA underwent endovascular repair according to our protocol and were followed prospectively. A retrospective analysis was also conducted of 23 rAAA patients treated with open repair from January 2001 through June 2002. Procedural and clinical data from this sample were compared to 14 contemporaneous emergent EVAR cases and analyzed to determine why the open repair patients were not treated with an endovascular approach. Results: Among the 21 patients treated with emergent EVAR since the beginning of this protocol, 6 (29%) procedures were performed under local anesthesia and 6 were performed percutaneously. Thirty-day mortality was 19%. In the comparison of 14 emergent EVAR cases to 23 open rAAA repairs, the mean duration of symptoms prior to intervention was 12 hours for the EVAR patients and <1 hour for OR patients. No significant difference was found in operating time, but the EVAR group had significantly less blood loss (p=0.0001) and transfusion needs (p=0.02); duration of intensive care unit stay was significantly shorter in the EVAR group (p=0.02). Thirty-day mortality was 29% (4/14) for EVAR and 35% for OR (8/23) (p>0.05). Reasons for not performing EVAR were unavailability of adequate equipment (n=11) or trained staff (n=7), hemodynamically unstable patient (n=2), mycotic aneurysm (n=2), and unfavorable anatomy in a 60-year old patient with a <5-mm-long, sharply angled infrarenal neck. Conclusions: Endovascular repair of ruptured aortic aneurysms is feasible, and short-term results are promising. Good logistics, adequate training of physicians and staff in an elective setting, and versatile endografts are prerequisites for this type of treatment program.

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