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REVIEWS  ENDOVASCULAR MANAGEMENT OF VASCULAR EMERGENCIES 

The Journal of Cardiovascular Surgery 2010 June;51(3):313-7

Copyright © 2010 EDIZIONI MINERVA MEDICA

lingua: Inglese

Endovascular approach for ruptured abdominal aortic aneursyms

Setacci F., Sirignano P., De Donato G., Chisci E., Galzerano G., Cappelli A., Palasciano G., Setacci C.

Department of Surgery, Vascular and Endovascular Surgery Unit, University of Siena, Siena, Italy


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The rupture of an abdominal aortic aneurysm (rAAA) causes about 15 000 deaths/year in the USA alone. Even though over the last 50 years progress in surgical techniques and in postoperative intensive care have been outstanding, the analysis of registries has shown either no decrease in the mortality rate for surgically treated rAAAs. Some reports asserted better out come for endovascular repair (EVAR) compared with surgery in case of rAAA. Despite this evidence, EVAR for rAAA remains prerogative of few centers worldwide. In conclusion only larger study or registry could assest the real role ov EVAR in the management of rAAA.

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