PMID- 18845103
OWN - NLM
STAT- MEDLINE
DCOM- 20081216
LR  - 20181201
IS  - 1708-5381 (Print)
IS  - 1708-5381 (Linking)
VI  - 16
IP  - 4
DP  - 2008 Jul-Aug
TI  - Endovascular repair of ruptured abdominal aortic aneurysms: systematic literature 
      review.
PG  - 219-24
AB  - Endovascular repair is increasingly used for ruptured abdominal aortic aneurysms 
      (RAAAs). This study estimated the mortality rate for this approach. A review of 
      307 publications in English was performed. Thirty-four publications representing 
      1,200 patients with RAAA were deemed appropriate for analysis by weighted least 
      squares regression. Of the 1,200 patients, 531 (44.3%) underwent endovascular 
      aneurysm repair (EVAR). The average age was 74 years, and 13% were female. 
      Aortouni-iliac grafts were used in 49.4% of patients, and 50.6% received 
      bifurcated grafts. The technical success rate was 94.9%, with a mortality rate of 
      30.2%. The ratio of endovascular cases to the total number of cases strongly 
      predicted the mortality rate (weighted coefficient -0.378, p< .0003). The 
      mortality rate following EVAR of RAAA is 30%. A 3.8% reduction in mortality was 
      found for each 10% increase in the percentage of ruptures repaired endovascularly 
      at each center. These results are suggestive of a learning curve.
FAU - Azizzadeh, Ali
AU  - Azizzadeh A
AD  - Department of Cardiothoracic and Vascular Surgery, University of Texas Health 
      Science Center, Memorial Hermann Heart and Vascular Institute, Houston, TX, USA. 
      Ali.Azizzadeh@uth.tmc.edu
FAU - Villa, Martin A
AU  - Villa MA
FAU - Miller, Charles C 3rd
AU  - Miller CC 3rd
FAU - Estrera, Anthony L
AU  - Estrera AL
FAU - Coogan, Sheila M
AU  - Coogan SM
FAU - Safi, Hazim J
AU  - Safi HJ
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PT  - Systematic Review
PL  - England
TA  - Vascular
JT  - Vascular
JID - 101196722
SB  - IM
MH  - Aged
MH  - Aneurysm, Ruptured/mortality/*surgery
MH  - Aortic Aneurysm, Abdominal/mortality/*surgery
MH  - Blood Vessel Prosthesis
MH  - Blood Vessel Prosthesis Implantation/methods/*mortality
MH  - Female
MH  - Hemodynamics
MH  - Hospital Mortality
MH  - Humans
MH  - Length of Stay/statistics & numerical data
MH  - Male
MH  - Risk Assessment
MH  - Survival Analysis
MH  - Treatment Outcome
MH  - Wound Healing
RF  - 42
EDAT- 2008/10/11 09:00
MHDA- 2008/12/17 09:00
CRDT- 2008/10/11 09:00
PHST- 2008/10/11 09:00 [pubmed]
PHST- 2008/12/17 09:00 [medline]
PHST- 2008/10/11 09:00 [entrez]
AID - 10.2310/6670.2008.00039 [doi]
PST - ppublish
SO  - Vascular. 2008 Jul-Aug;16(4):219-24. doi: 10.2310/6670.2008.00039.