|
Title
|
|
|
|
Emergency endovascular aneurysm repair for ruptured abdominal aortic aneurysms : an institutional experience
| |
|
Author
|
|
|
|
| |
|
Abstract
|
|
|
|
| Objectives : Emergency endovascular aneurysm repair (eEVAR) for ruptured abdominal aortic aneurysms (rAAA) is still under investigation. Since installation of an urgent eEVAR kit in our hospital, all patients with a rAAA or urgent thoracic aortic aneurysm are candidates for eEVAR or eTEVAR (emergency thoracic EVAR), respectively. For this study, we analyzed all rAAA patients treated with eEVAR. Methods : Data were recorded prospectively. Criteria for an eEVAR were an infrarenal neck $ 15mm, acceptable landing zone, angles below 70° and a good femoral approach. We prefer preoperative angio CT-scan but in case of instability, an intra-aortic balloon can stabilize the patient during angiography (in the OR) to decide between open or eEVAR repair. Follow-up was performed on regular intervals by duplex or CT-scan. Thirty-day mortality and overall survival were calculated. Results : Since 2006, nine male rAAA patients with a mean age of 73 years (range : 62-82) had eEVAR repair. Aneurysm diameter was 8 cm (range : 5.8-11). The Hardman index was 1.5 (range : 0-3). In eight patients an aorto-uni-iliac device was placed succesfully followed by a femorofemoral crossover bypass. The 30-day operative mortality was 12.5% (one patient with septic shock). Three patients showed a type 2 endoleak with stable diameter during follow-up but one patient showed expansion 4 years after treatment. Conclusions : Treating rAAA with eEVAR in selected patients with acceptable anatomy and a kit permanently available in the operating room yielded good results by a surgical team trained for both open and eEVAR repair. The conversion rate was low (11%) and the survival (immediate and 30-days) was excellent (87.5%). |
| |
|
Language
|
|
|
|
English
| |
|
Source (journal)
|
|
|
|
Acta chirurgica Belgica. - Brussel, 1946 - 1996
| |
|
Publication
|
|
|
|
Brussel
:
2010
| |
|
ISSN
|
|
|
|
0001-5458
| |
|
DOI
|
|
|
|
10.1080/00015458.2010.11680616
| |
|
Volume/pages
|
|
|
|
110
:3
(2010)
, p. 272-274
| |
|
ISI
|
|
|
|
000279884100003
| |
|
Full text (Publisher's DOI)
|
|
|
|
| |
|