The utility of commercially available endografts in the treatment of contained ruptured abdominal aortic aneurysm with hemodynamic stability

Journal of Vascular Surgery
Joseph V LombardiO C Velazquez

Abstract

Food and Drug Administration-approved endografts are suitable for the elective repair of abdominal aortic aneurysms (AAAs) with favorable aneurysm anatomy. Our aim is to illustrate the feasibility and versatility of commercially available endografts for emergency AAA repair in hemodynamically stable AAA rupture. From June 2001 to July 2002, five patients presented with severe abdominal pain and were diagnosed with contained rupture of an infrarenal AAA. In all cases, patients were deemed unfit to withstand conventional open repair by both the referring outside medical center as well as our center's team. All patients were hemodynamically stable on arrival at our medical center. Measurement and selection of endovascular devices were based on computed tomography (CT) scans performed emergently at the outside referring center. The required emergently procured endografts were obtained within 2 to 4.5 hours (mean, 3.1 hours) of presentation. Complex anatomy at the proximal and distal fixation zones or difficult access was present in every case. All patients survived endograft repair and had successful exclusion of their aneurysm sac on the basis of intraoperative arteriography and postoperative CT surveillance. All were discharged t...Continue Reading

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Citations

Jul 2, 2008·Journal of Vascular and Interventional Radiology : JVIR·Michael Monge, Mark K Eskandari
Nov 2, 2007·Advances in Surgery·Matthew J BownPeter R F Bell
Sep 18, 2008·ANZ Journal of Surgery·Mark W GrantAndre M van Rij
Oct 18, 2005·Annals of Vascular Surgery·Sarat K VaddineniWilliam D Jordan
Sep 20, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·H S RaytM J Bown
Aug 28, 2007·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·D W HarkinF Kee
Oct 22, 2008·Cardiovascular and Interventional Radiology·Thomas S GerassimidisApostolos G Kamparoudis
Feb 1, 2006·Cardiovascular and Interventional Radiology·Domenico LaganàCarlo Fugazzola
Jun 11, 2020·International Angiology : a Journal of the International Union of Angiology·Pedro SÁArmando Mansilha

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