Endovascular treatment of ruptured abdominal aortic aneurysms: is now EVAR the first choice of treatment?
Cardiovasc Intervent Radiol
; 37(5): 1156-64, 2014 Oct.
Article
em En
| MEDLINE
| ID: mdl-24232039
ABSTRACT
OBJECTIVE:
This study was designed to evaluate the effectiveness of endovascular treatment (EVAR) for ruptured abdominal aortic aneurysms (rAAAs).METHODS:
Between September 2005 and December 2012, 44 patients with rAAA suitable for endovascular repair underwent emergency EVAR. We did not consider hemodynamic instability to be a contraindication for EVAR.RESULTS:
Successful stent-graft deployment was achieved in 42 patients, whereas 2 required open surgical conversion. The overall 30-day mortality was 10 of 44 patients (5/34 in stable patients, 5/10 in unstable patients). Postoperative complications were observed in 7 of 44 patients (16 %) 5 patients developed abdominal compartment syndrome requiring decompressive laparotomy; 1 patient developed bowel ischemia; 1 patient had limb ischemia, and 1 had hemodynamic shock. Mean length of intensive care unit stay was 2.9 (range 28) days, and mean length of hospital stay was 8.6 (range 018) days. At a mean follow-up of 22.2 (range 184) months, the overall incidence of endoleak was 23.5 % 1 type I and 7 type II endoleaks.CONCLUSIONS:
Our study demonstrates that EVAR of rAAA is associated with acceptable mortality and morbidity rates in dedicated centers.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ruptura Aórtica
/
Stents
/
Aneurisma da Aorta Abdominal
/
Implante de Prótese Vascular
Tipo de estudo:
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Cardiovasc Intervent Radiol
Ano de publicação:
2014
Tipo de documento:
Article