REVIEWS  THE MANAGEMENT OF RUPTURED ABDOMINAL AORTIC ANEURYSMS 

The Journal of Cardiovascular Surgery 2009 October;50(5):587-93

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Mortality of ruptured abdominal aortic aneurysm with selective use of endovascular repair

Verhoeven E. L. G., Kapma M. R., Bos W. T. G. J., Vourliotakis G., Bracale U. M., Bekkema F., Vahl A. C., Van Den Dungen J. J. A. M.

¹ Division of Vascular Surgery, Department of Surgery, University Medical Center Groningen, Groningen, The Netherlands 2 Department of Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands

The aim of this review was to examine the results over a seven-year period of treatment for ruptured abdominal aortic aneurysm (RAAA). From 2002 on, our tertiary referral centre offered both open and endovascular (EVAR) treatment modalities for RAAA. All patients with a proven RAAA who were admitted into our hospital were included. Primary outcome measure was surgical mortality. In total 261 patients were admitted with suspicion of acute AAA. Of these, 175 (67%) had a RAAA, confirmed by computed tomography-scanning or at laparotomy. One hundred and fifty-nine patients (90.9%) were treated, 114 by open repair and 45 by EVAR. Overall mortality of patients treated was 25.2%, with an open repair mortality of 27.2%, and EVAR mortality of 20%. EVAR was used more often in patients who were hemodynamically more stable. Evaluation for EVAR and treatment by EVAR increased during the study period. Overall mortality rate for treatment of RAAA in our centre was 25% over the seven-year study period.