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Endovascular Therapy of Ruptured Abdominal Aortic Aneurysm: Mid- and Long-Term Results

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Abstract

As an alternative to open aneurysm repair, emergency endovascular aortic repair (EVAR) has emerged as a promising technique for ruptured abdominal aortic aneurysm (rAAA) within the last decade. The aim of this retrospective study is to present early and late outcomes of patients treated with EVAR for rAAA. Twenty-two patients (5 women, 17 men; mean age, 74 years) underwent EVAR for rAAA between November 2000 and April 2006. Diagnostic multislice computed tomography angiography was performed prior to stent-graft repair to evaluate anatomical characteristics and for follow-up examinations. Periprocedural patient characteristics and technical settings were evaluated. Mortality rates, hospital stay, and early and late complications, within a mean follow-up time of 744 ± 480 days, were also assessed. Eight of 22 patients were hemodynamically unstable at admission. Stent-graft insertion was successful in all patients. The total early complication rate was 54%, resulting in a 30-day mortality rate of 23%. The median intensive care unit stay was 2 days (range, 2–48 days), and the median hospital stay was 16 days (range, 9–210 days). During the follow-up period, three patients suffered from stent-graft-related complications. The overall mortality rate in our study group was 36%. EVAR is an acceptable, minimally invasive treatment option in patients with acute rAAA, independent of the patient’s general condition. Short- and long-term outcomes are definitely comparable to those with open surgical repair procedures.

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Authors and Affiliations

  1. Department of Cardiovascular and Interventional Radiology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria

    Klaus Kubin, Johannes Lammer & Maria Schoder

  2. Department of Emergency Medicine, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria

    Gottfried H. Sodeck

  3. Department of Vascular Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria

    H. Teufelsbauer & Georg Kretschmer

  4. Department of Radiology, General Hospital of Wiener Neustadt, Corvinusring 3-5, 2700, Wiener Neustadt, Austria

    Bernd Nowatschka

Authors
  1. Klaus Kubin
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  2. Gottfried H. Sodeck
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  3. H. Teufelsbauer
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  4. Bernd Nowatschka
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  5. Georg Kretschmer
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  6. Johannes Lammer
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  7. Maria Schoder
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Correspondence to Klaus Kubin.

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Kubin, K., Sodeck, G.H., Teufelsbauer, H. et al. Endovascular Therapy of Ruptured Abdominal Aortic Aneurysm: Mid- and Long-Term Results. Cardiovasc Intervent Radiol 31, 496–503 (2008). https://doi.org/10.1007/s00270-007-9253-9

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  • DOI: https://doi.org/10.1007/s00270-007-9253-9

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