PMID- 18829222
OWN - NLM
STAT- MEDLINE
DCOM- 20090122
LR  - 20121003
IS  - 1097-6809 (Electronic)
IS  - 0741-5214 (Linking)
VI  - 48
IP  - 6
DP  - 2008 Dec
TI  - Mortality of ruptured abdominal aortic aneurysm treated with open or endovascular 
      repair.
PG  - 1396-400
LID - 10.1016/j.jvs.2008.07.054 [doi]
AB  - OBJECTIVES: The study defined the selection criteria used for treatment of 
      ruptured abdominal aortic aneurysms (RAAAs) and reviewed results during a 5-year 
      period. METHODS: From 2002 on, our tertiary referral center adopted a protocol of 
      selective use of endovascular repair for RAAAs. The study included all patients 
      with a proven RAAA who were admitted to our hospital from 2002 to 2006. The 
      primary outcome measure was surgical mortality. RESULTS: A total of 187 patients 
      were admitted with an acute AAA, and an RAAA was confirmed 135 (72%) by computed 
      tomography scanning or at laparotomy, and 125 (93%) were treated, 89 by open 
      means and 36 by endovascular means. The overall mortality rate was 24% and the 
      mortality rate was 13.9% for endovascular repair. Endovascular repair was 
      consistently used more often in patients with favorable anatomy and in patients 
      who were hemodynamically more stable. There were considerable differences in 
      approach between the four consultant vascular surgeons. The overall evaluation 
      and inclusion for endovascular treatment increased during the study period. 
      CONCLUSIONS: A strict protocol for admission, evaluation, and treatment of RAAA, 
      with selective use of endovascular repair, resulted in low mortality rates in our 
      center.
FAU - Verhoeven, Eric L
AU  - Verhoeven EL
AD  - Department of Surgery, University Medical Center Groningen, Groningen, The 
      Netherlands. e.l.g.verhoeven@chir.umcg.nl
FAU - Kapma, Marten R
AU  - Kapma MR
FAU - Groen, Henk
AU  - Groen H
FAU - Tielliu, Ignace F
AU  - Tielliu IF
FAU - Zeebregts, Clark J
AU  - Zeebregts CJ
FAU - Bekkema, Foppe
AU  - Bekkema F
FAU - van den Dungen, Jan J
AU  - van den Dungen JJ
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20081001
PL  - United States
TA  - J Vasc Surg
JT  - Journal of vascular surgery
JID - 8407742
SB  - IM
MH  - Aged
MH  - Aortic Aneurysm, Abdominal/diagnosis/*mortality/surgery
MH  - Aortic Rupture/diagnosis/*mortality/surgery
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Laparotomy/*methods
MH  - Male
MH  - Netherlands/epidemiology
MH  - Retrospective Studies
MH  - Rupture, Spontaneous
MH  - Survival Rate/trends
MH  - Time Factors
MH  - Tomography, X-Ray Computed
MH  - Treatment Outcome
MH  - Vascular Surgical Procedures/*methods
EDAT- 2008/10/03 09:00
MHDA- 2009/01/23 09:00
CRDT- 2008/10/03 09:00
PHST- 2008/05/09 00:00 [received]
PHST- 2008/07/12 00:00 [revised]
PHST- 2008/07/15 00:00 [accepted]
PHST- 2008/10/03 09:00 [pubmed]
PHST- 2009/01/23 09:00 [medline]
PHST- 2008/10/03 09:00 [entrez]
AID - S0741-5214(08)01192-0 [pii]
AID - 10.1016/j.jvs.2008.07.054 [doi]
PST - ppublish
SO  - J Vasc Surg. 2008 Dec;48(6):1396-400. doi: 10.1016/j.jvs.2008.07.054. Epub 2008 
      Oct 1.