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ruptured abdominal aortic aneurysm
Etiology:
- abdominal aortic aneurysm
Clinical manifestations:
- hypotension
- pulsatile abdominal mass
- flank pain
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]
General
abdominal aortic aneurysm (AAA)
ruptured aortic aneurysm
References
- IMPROVE trial investigators
Endovascular or open repair strategy for ruptured abdominal
aortic aneurysm: 30 day outcomes from IMPROVE randomised trial.
BMJ 2014;348:f7661
PMID: 24418950
http://www.bmj.com/content/348/bmj.f7661
- Kent KC
Abdominal Aortic Aneurysms.
N Engl J Med 2014; 371:2101-2108. November 27, 2014.
PMID: 25427112
http://www.nejm.org/doi/full/10.1056/NEJMcp1401430
- 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.
PMID: 29138135 Free PMC Article
http://www.bmj.com/content/359/bmj.j4859
- 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