PMID- 17911555 OWN - NLM STAT- MEDLINE DCOM- 20080118 LR - 20220410 IS - 1531-0035 (Print) IS - 1521-5768 (Linking) VI - 19 IP - 3 DP - 2007 Sep TI - Endovascular aortic repair should be the gold standard for ruptured AAAs, and all vascular surgeons should be prepared to perform them. PG - 275-82 AB - When ruptured abdominal aortic aneurysms (AAAs) are not treated, they cause death. In addition, ruptured abdominal aortic aneurysms (RAAAs) have high mortality (35%-70%) and morbidity rates when treated by standard open surgical methods. These high perioperative mortality and morbidity rates have not been substantially reduced despite the introduction of many improvements in open operative technique or perioperative care. Endovascular approaches to treat AAAs introduced in the early 1990s provided an opportunity to substantially alter treatment outcomes when rupture occurred. This article details how these endovascular approaches, which include endovascular stented grafts, can be applied to the treatment of RAAAs, and what advantages these new catheter-based approaches to treatment offer. FAU - Veith, Frank J AU - Veith FJ AD - Division of Vascular Surgery, Cleveland Clinic Foundation, New York University Medical Center, New York, New York, USA. FJVMD@msn.com FAU - Gargiulo, Nicholas J AU - Gargiulo NJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Perspect Vasc Surg Endovasc Ther JT - Perspectives in vascular surgery and endovascular therapy JID - 100970607 SB - IM CIN - Perspect Vasc Surg Endovasc Ther. 2007 Sep;19(3):283-4. PMID: 17911556 MH - Anesthesia, General MH - Aortic Aneurysm, Abdominal/diagnostic imaging/*surgery MH - Aortic Rupture/diagnostic imaging/*surgery MH - Blood Vessel Prosthesis MH - *Blood Vessel Prosthesis Implantation/methods/standards MH - Fluoroscopy MH - Hemostasis, Surgical MH - Humans MH - Patient Selection MH - Prosthesis Design MH - Stents MH - Tomography, X-Ray Computed EDAT- 2007/10/04 09:00 MHDA- 2008/01/19 09:00 CRDT- 2007/10/04 09:00 PHST- 2007/10/04 09:00 [pubmed] PHST- 2008/01/19 09:00 [medline] PHST- 2007/10/04 09:00 [entrez] AID - 19/3/275 [pii] AID - 10.1177/1531003507304438 [doi] PST - ppublish SO - Perspect Vasc Surg Endovasc Ther. 2007 Sep;19(3):275-82. doi: 10.1177/1531003507304438.