PMID- 18025332
OWN - NLM
STAT- MEDLINE
DCOM- 20071129
LR  - 20071120
IS  - 1538-3644 (Electronic)
IS  - 0004-0010 (Linking)
VI  - 142
IP  - 11
DP  - 2007 Nov
TI  - Percutaneous endovascular repair of ruptured abdominal aortic aneurysms.
PG  - 1049-52
AB  - HYPOTHESIS: Percutaneous endovascular repair of ruptured abdominal aortic 
      aneurysms (RAAAs) has better outcomes than traditional open surgical repair. 
      DESIGN: Single-center retrospective review. SETTING: University hospital tertiary 
      referral center. PATIENTS: Thirty-seven RAAAs treated using endovascular repair 
      (n = 15) or open surgery (n = 22). INTERVENTIONS: From January 1, 2000, through 
      December 31, 2005, 15 RAAAs were treated with endovascular stent graft exclusion 
      using commercially available systems. Twenty-two other patients undergoing 
      standard open surgical repair during the same interval comprised a control group 
      for comparison. MAIN OUTCOME MEASURES: Early outcomes of percutaneous 
      endovascular repair of RAAAs. RESULTS: Among the endovascular group, the mean +/- 
      SD age was 73 +/- 9.8 years, 86.6% were men (n = 13), and 20.0% had a 
      preoperative systolic blood pressure of 80 mm Hg or lower (n = 3). An entirely 
      percutaneous procedure was performed in the final 11 patients using arterial 
      closure systems. Technical success of attempted endovascular exclusion was 
      100.0%. The mean +/- SD procedure time (107 +/- 30 minutes), transfusion 
      requirements (6.6 +/- 4.7 U), and length of stay (3.0 +/- 6.8 days) were 
      statistically significantly reduced compared with open surgery. The 30-day 
      mortality was 6.7% (1 of 15) compared with an open surgery 30-day mortality of 
      13.6% (3 of 22). No late complications (pseudoaneurysm, infection, lymphocele, or 
      neuropathy) occurred after a completely percutaneous technique during a mean 
      follow-up of 12 months. CONCLUSION: Percutaneous endovascular repair of RAAAs is 
      a more expedient and less morbid alternative than open surgical repair.
FAU - Najjar, Samer F
AU  - Najjar SF
AD  - Division of Vascular Surgery, Department of Surgery, Feinberg School of Medicine, 
      Northwestern University, Chicago, Illinois 60611, USA.
FAU - Mueller, Kyle H
AU  - Mueller KH
FAU - Ujiki, Michael B
AU  - Ujiki MB
FAU - Morasch, Mark D
AU  - Morasch MD
FAU - Matsumura, Jon S
AU  - Matsumura JS
FAU - Eskandari, Mark K
AU  - Eskandari MK
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Arch Surg
JT  - Archives of surgery (Chicago, Ill. : 1960)
JID - 9716528
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Angioplasty
MH  - Aortic Aneurysm, Abdominal/*surgery
MH  - Aortic Rupture/*surgery
MH  - Blood Vessel Prosthesis Implantation/*methods
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Stents
EDAT- 2007/11/21 09:00
MHDA- 2007/12/06 09:00
CRDT- 2007/11/21 09:00
PHST- 2007/11/21 09:00 [pubmed]
PHST- 2007/12/06 09:00 [medline]
PHST- 2007/11/21 09:00 [entrez]
AID - 142/11/1049 [pii]
AID - 10.1001/archsurg.142.11.1049 [doi]
PST - ppublish
SO  - Arch Surg. 2007 Nov;142(11):1049-52. doi: 10.1001/archsurg.142.11.1049.