ruptured abdominal aortic aneurysm
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Etiology
Clinical manifestations
Complications
- mortality 85-90%[2]
Management
- emergency surgical repair
- consider REBOA
- endovascular repair
- preferred method of repair[4]
- no better than open repair[1]
- 3-year mortality lower with endovascular repair[3]
- 48% vs 56%, but not at 7 years 60%[3]
More general terms
References
- ↑ 1.0 1.1 IMPROVE trial investigators Endovascular or open repair strategy for ruptured abdominal aortic aneurysm: 30 day outcomes from IMPROVE randomised trial. BMJ 2014;348:f7661 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/24418950 <Internet> http://www.bmj.com/content/348/bmj.f7661
- ↑ 2.0 2.1 Kent KC Abdominal Aortic Aneurysms. N Engl J Med 2014; 371:2101-2108. November 27, 2014. <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/25427112 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMcp1401430
- ↑ 3.0 3.1 3.2 IMPROVE Trial Investigators. Comparative clinical effectiveness and cost effectiveness of endovascular strategy vs open repair for ruptured abdominal aortic aneurysm: Three year results of the IMPROVE randomised trial. BMJ 2017 Nov 14; 359:j4859. <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/29138135 Free PMC Article <Internet> http://www.bmj.com/content/359/bmj.j4859
- ↑ 4.0 4.1 Abdominal Aortic Aneurysm. Society for Vascular Surgery In: Anello J, Feinberg B, Heinegg J et al New Clinical Practice Guidelines, February 2018. Medscape. February 07, 2018 https://reference.medscape.com/viewarticle/892328
Glovicki P, Lawrence PF, Forbes TL. Update of the Society for Vascular Surgery abdominal aortic aneurysm guidelines. J Vasc Surg. 2018 Jan;67(1):1. http://www.jvascsurg.org/article/S0741-5214(17)32369-8/fulltext