PMID- 19741576
OWN - NLM
STAT- MEDLINE
DCOM- 20100107
LR  - 20161026
IS  - 0021-9509 (Print)
IS  - 0021-9509 (Linking)
VI  - 50
IP  - 5
DP  - 2009 Oct
TI  - Endovascular treatment for ruptured abdominal aortic aneurysm. Review of 
      literature.
PG  - 611-5
AB  - Endovascular repair (EVAR) has produced increasing interest in the treatment of 
      ruptured abdominal aortic aneurysms (rAAAs). Experiences to support EVAR as first 
      approach for patients with rAAA is drawn from three sources: results of 
      single-centre series, systematic reviews, and population-based studies. In order 
      to validate EVAR, this technique was compared to open repair (OR), considered as 
      the conventional treatment. These studies are heterogeneous, and often failed to 
      demonstrate any significant difference between EVAR and OR. More recently, some 
      population-based studies from the USA suggested advantages of EVAR over OR with 
      regard to 30-day mortality and morbidity. Some bias have influenced the reported 
      RESULTS: Criteria for choice of EVAR varied across the studies according to the 
      policy of the authors. Therefore, any meta-analysis should be interpreted with 
      caution. Patients' conditions have directed the authors towards a technique 
      instead of the other, i.e. pathophysiological factors of the patients, and 
      anatomical conditions of the AAAs. Availability of the required endovascular 
      equipment and trained staff allows EVAR and not always were present. Currently, 
      according to the literature the role of EVAR in the management of rAAAs must to 
      be further checked. Randomized trials could provide the evidence to define 
      adequate indication to EVAR. EVAR could play an important role in the treatment 
      of rAAAs, providing adequate selection of cases suitable for this technique.
FAU - PALOMBO, D
AU  - PALOMBO D
AD  - Unit of Vascular and Endovascular Surgery, San Martino University Hospital, 
      Genoa, Italy.
FAU - LUCERTINI, G
AU  - LUCERTINI G
FAU - PANE, B
AU  - PANE B
FAU - SPINELLA, G
AU  - SPINELLA G
LA  - eng
PT  - Journal Article
PT  - Review
PL  - Italy
TA  - J Cardiovasc Surg (Torino)
JT  - The Journal of cardiovascular surgery
JID - 0066127
SB  - IM
MH  - Aortic Aneurysm, Abdominal/mortality/*surgery
MH  - Aortic Rupture/mortality/*surgery
MH  - *Blood Vessel Prosthesis Implantation/adverse effects/mortality
MH  - Evidence-Based Medicine
MH  - Humans
MH  - Patient Selection
MH  - Risk Assessment
MH  - Time Factors
MH  - Treatment Outcome
RF  - 38
EDAT- 2009/09/11 06:00
MHDA- 2010/01/08 06:00
CRDT- 2009/09/11 06:00
PHST- 2009/09/11 06:00 [entrez]
PHST- 2009/09/11 06:00 [pubmed]
PHST- 2010/01/08 06:00 [medline]
PST - ppublish
SO  - J Cardiovasc Surg (Torino). 2009 Oct;50(5):611-5.