Advanced Search

Home > Journals > Italian Journal of Vascular and Endovascular Surgery > Past Issues > Italian Journal of Vascular and Endovascular Surgery 2009 September;16(3) > Italian Journal of Vascular and Endovascular Surgery 2009 September;16(3):151-61

ISSUES AND ARTICLES   MOST READ   eTOC

CURRENT ISSUEITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY

A Journal on Vascular and Endovascular Surgery

Official Journal of the Italian Society of Vascular and Endovascular Surgery
Indexed/Abstracted in: EMBASE, Scopus

Frequency: Quarterly

ISSN 1824-4777

Online ISSN 1827-1847

 

Italian Journal of Vascular and Endovascular Surgery 2009 September;16(3):151-61

    REVIEWS

Endovascular repair of ruptured abdominal aortic aneurysm

De Rango P. 1, Estrera A. L. 2, Safi H. J. 2, Azizzadeh A. 2

1 Division of Vascular and Endovascular Surgery, University of Perugia, Ospedale S. Maria della Misericordia Perugia, Italy
2 Department of Cardiothoracic and Vascular Surgery, University of Texas Medical School Houston, TX,USA

Ruptured abdominal aortic aneurysms (RAAA) are associated with significant morbidity and mortality. Despite significant medical advances in the last few decades, the mortality from traditional open repair approaches 50%. Since the mid 1990’s, endovascular repair (EVAR) has been widely adopted for management of elective abdominal aortic aneurysms. EVAR has been increasingly reported by multiple centers for RAAA. Widespread application of EVAR in this setting, however, has been limited due to multiple factors including lack of feasibility, logistic issues, and a paucity of clear evidence. This article examines the body of existing literature on this topic. High-level evidence supporting the use of EVAR for RAAA is lacking. At present, the limited available evidence suggests some advantages for the use of EVAR compared to OR regarding immediate survival. Nevertheless, the data available are still largely inadequate to recommend widespread adoption of EVAR for RAAA. Further research to refine the indications for EVAR by enrolling RAAA patients in large multicenter randomized clinical trials is advisable.

language: English


FULL TEXT  REPRINTS

top of page