PMID- 19809296 OWN - NLM STAT- MEDLINE DCOM- 20091211 LR - 20151119 IS - 1528-1140 (Electronic) IS - 0003-4932 (Linking) VI - 250 IP - 5 DP - 2009 Nov TI - Collected world and single center experience with endovascular treatment of ruptured abdominal aortic aneurysms. PG - 818-24 LID - 10.1097/SLA.0b013e3181bdd7f5 [doi] AB - BACKGROUND: Case and single center reports have documented the feasibility and suggested the effectiveness of endovascular aneurysm repair (EVAR) of ruptured abdominal aortic aneurysms (RAAAs), but the role and value of such treatment remain controversial. OBJECTIVE: To clarify these we examined a collected experience with use of EVAR for RAAA treatment from 49 centers. METHODS: Data were obtained by questionnaires from these centers, updated from 13 centers committed to EVAR treatment whenever possible and included treatment details from a single center and information on 1037 patients treated by EVAR and 763 patients treated by open repair (OR). RESULTS: Overall 30-day mortality after EVAR in 1037 patients was 21.2%. Centers performing EVAR for RAAAs whenever possible did so in 28% to 79% (mean 49.1%) of their patients, had a 30-day mortality of 19.7% (range: 0%-32%) for 680 EVAR patients and 36.3% (range: 8%-53%) for 763 OR patients (P < 0.0001). Supraceliac aortic balloon control was obtained in 19.1% +/- 12.0% (+/-SD) of 680 EVAR patients. Abdominal compartment syndrome was treated by some form of decompression in 12.2% +/- 8.3% (+/-SD) of these EVAR patients. CONCLUSION: These results indicate that EVAR has a lower procedural mortality at 30 days than OR in at least some patients and that EVAR is better than OR for treating RAAA patients provided they have favorable anatomy; adequate skills, facilities, and protocols are available; and optimal strategies, techniques, and adjuncts are employed. FAU - Veith, Frank J AU - Veith FJ AD - Cleveland Clinic, Cleveland, OH; daggerNew York University Medical Center, New York, NY, USA. fjvmd@msn.com FAU - Lachat, Mario AU - Lachat M FAU - Mayer, Dieter AU - Mayer D FAU - Malina, Martin AU - Malina M FAU - Holst, Jan AU - Holst J FAU - Mehta, Manish AU - Mehta M FAU - Verhoeven, Eric L G AU - Verhoeven EL FAU - Larzon, Thomas AU - Larzon T FAU - Gennai, Stefano AU - Gennai S FAU - Coppi, Gioacchino AU - Coppi G FAU - Lipsitz, Evan C AU - Lipsitz EC FAU - Gargiulo, Nicholas J AU - Gargiulo NJ FAU - van der Vliet, J Adam AU - van der Vliet JA FAU - Blankensteijn, Jan AU - Blankensteijn J FAU - Buth, Jacob AU - Buth J FAU - Lee, W Anthony AU - Lee WA FAU - Biasi, Giorgio AU - Biasi G FAU - Deleo, Gaetano AU - Deleo G FAU - Kasirajan, Karthikeshwar AU - Kasirajan K FAU - Moore, Randy AU - Moore R FAU - Soong, Chee V AU - Soong CV FAU - Cayne, Neal S AU - Cayne NS FAU - Farber, Mark A AU - Farber MA FAU - Raithel, Dieter AU - Raithel D FAU - Greenberg, Roy K AU - Greenberg RK FAU - van Sambeek, Marc R H M AU - van Sambeek MR FAU - Brunkwall, Jan S AU - Brunkwall JS FAU - Rockman, Caron B AU - Rockman CB FAU - Hinchliffe, Robert J AU - Hinchliffe RJ CN - RAAA Investigators LA - eng PT - Journal Article PT - Multicenter Study PL - United States TA - Ann Surg JT - Annals of surgery JID - 0372354 SB - IM MH - Aortic Aneurysm, Abdominal/mortality/*surgery MH - Aortic Rupture/mortality/*surgery MH - Blood Vessel Prosthesis Implantation/methods/mortality/*statistics & numerical data MH - Data Collection MH - Humans MH - Surveys and Questionnaires FIR - Adiseshiah, Mohan IR - Adiseshiah M FIR - Alimi, Yves IR - Alimi Y FIR - Bekkema, Foppe IR - Bekkema F FIR - Bell, Peter IR - Bell P FIR - Becquemin, Jean-Pierre IR - Becquemin JP FIR - Benatti, Cristian IR - Benatti C FIR - Braithwaite, Bruce IR - Braithwaite B FIR - Camesasca, Walter IR - Camesasca W FIR - Cao, Piergiorgio IR - Cao P FIR - Casali, Robert IR - Casali R FIR - Castellani, Lucien IR - Castellani L FIR - Chester, Johanna IR - Chester J FIR - Criado, Frank IR - Criado F FIR - Cuypers, Philippe IR - Cuypers P FIR - Dake, Michael IR - Dake M FIR - Darling, R Clement IR - Darling RC FIR - Eliasson, Ken IR - Eliasson K FIR - Fillinger, Mark IR - Fillinger M FIR - Froio, Alberto IR - Froio A FIR - Gloviczki, Peter IR - Gloviczki P FIR - Goode, Steven IR - Goode S FIR - Gruber, Goren IR - Gruber G FIR - Hopkinson, Brian IR - Hopkinson B FIR - Hodgson, Kim IR - Hodgson K FIR - Ivancev, Krassi IR - Ivancev K FIR - Kapma, Martin IR - Kapma M FIR - Koskas, Fabian IR - Koskas F FIR - Liapis, Christos IR - Liapis C FIR - Long, John IR - Long J FIR - Loan, Willie IR - Loan W FIR - MacSweeney, Shane IR - MacSweeney S FIR - Makaroun, Michel IR - Makaroun M FIR - Matsumura, Jon IR - Matsumura J FIR - Matyas, Lajos IR - Matyas L FIR - May, James IR - May J FIR - Moore, Wesley IR - Moore W FIR - Pamler, Reinhard IR - Pamler R FIR - Parodi, Juan IR - Parodi J FIR - Paty, Philip IR - Paty P FIR - Sunder-Plassmann, Ludgar IR - Sunder-Plassmann L FIR - Pfammatter, Thomas IR - Pfammatter T FIR - Peppelenbosch, Noud IR - Peppelenbosch N FIR - Piglionica, Maria IR - Piglionica M FIR - Ross, John IR - Ross J FIR - Resch, Tim IR - Resch T FIR - Roddy, Sean IR - Roddy S FIR - Rubin, Brian IR - Rubin B FIR - Saitta, Giuseppe IR - Saitta G FIR - Sales, Clifford IR - Sales C FIR - Sanchez, Luis IR - Sanchez L FIR - Silingardi, Roberto IR - Silingardi R FIR - Sonesson, Bjorn IR - Sonesson B FIR - Taggert, John IR - Taggert J FIR - Sternbach, Yaron IR - Sternbach Y FIR - Toivola, Asko IR - Toivola A FIR - van den Berg, Jos IR - van den Berg J FIR - van Dijk, Lukas IR - van Dijk L FIR - Vermassen, Frank IR - Vermassen F FIR - Villa, Vittorio IR - Villa V FIR - White, Rodney IR - White R FIR - Zipfel, Burkhard IR - Zipfel B EDAT- 2009/10/08 06:00 MHDA- 2009/12/16 06:00 CRDT- 2009/10/08 06:00 PHST- 2009/10/08 06:00 [entrez] PHST- 2009/10/08 06:00 [pubmed] PHST- 2009/12/16 06:00 [medline] AID - 10.1097/SLA.0b013e3181bdd7f5 [doi] PST - ppublish SO - Ann Surg. 2009 Nov;250(5):818-24. doi: 10.1097/SLA.0b013e3181bdd7f5.