Scharrer-Pamler R, Kotsis T, Kapfer X, Görich J, Sunder-Plassmann L. Endovascular stent-graft repair of ruptured aortic aneurysms.
J Endovasc Ther 2003;
10:447-52. [PMID:
12932154 DOI:
10.1177/152660280301000308]
[Citation(s) in RCA: 31] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
PURPOSE
To demonstrate the endovascular approach to the management of ruptured abdominal aortic aneurysms (AAA).
METHODS
From 1995 to 2001, 24 patients (21 men; mean age 69 years, range 26-92) underwent emergency endovascular treatment for ruptured AAA. The average interval between onset of symptoms and admission to the hospital was 8.0 hours; the mean time between admission and the operation was 2.3 hours. No suprarenal occluding catheter was used. The stent-graft configurations were 19 bifurcated, 4 tube, and 1 aortomonoiliac.
RESULTS
Stent-graft placement was successful in 23 (96%) cases. Failed limb extension deployment prompted conversion to open surgery in the remaining patient. One case was converted to open surgery. Mean duration of treatment was 122 minutes. Three (12.5%) patients died in-hospital. The median hospital stay was 12 days. The rate of endoleaks (all type I) was 16.7%. The overall technical success rate was 77%. The 3-year actuarial survival rate was 75%.
CONCLUSIONS
Our experience shows excellent results in emergency patients with ruptured AAAs treated with endovascular surgery. In order to verify these promising results, a broader-scale clinical study must be conducted.
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