Objectives: The purpose of this single-institution study was to describe our 7-year intention-to-treat results, obtained with the use of endovascular techniques for the treatment of ruptured abdominal aortic aneurysms (rAAA). Patients and Methods: From October 1998 until March 2005, a total of 28 patients were admitted or transferred to our department with an rAAA. They were all treated according to a management protocol of intention-to-treat with endovascular techniques. Twenty of the patients received endovascular treatment and the remaining 8 underwent an open surgery procedure. Results: The mortality rate of the endovascularly treated patients was 40% (8 in 20), whereas of the 8 surgical patients 3 survived (mortality = 62.5%). The overall mortality rate of the 28 patients admitted with an rAAA was 46.4% (13 of 28 patients). Conclusions: In our experience the intension-to-treat protocol for rAAA offered acceptable results in terms of mortality rates. Multi-center studies are necessary to establish the role of endovascular treatment in patients with rAAA.

Endovascular techniques for the treatment of ruptured abdominal aortic aneurysms : 7-Year intention-to-treat results / I. Dalainas, G. Nano, P. Bianchi, S. Stegher, R. Casana, G. Malacrida, D.G. Tealdi. - In: WORLD JOURNAL OF SURGERY. - ISSN 0364-2313. - 30:10(2006), pp. 1809-1814. [10.1007/s00268-005-0667-8]

Endovascular techniques for the treatment of ruptured abdominal aortic aneurysms : 7-Year intention-to-treat results

I. Dalainas
Primo
;
G. Nano
Secondo
;
D.G. Tealdi
Ultimo
2006

Abstract

Objectives: The purpose of this single-institution study was to describe our 7-year intention-to-treat results, obtained with the use of endovascular techniques for the treatment of ruptured abdominal aortic aneurysms (rAAA). Patients and Methods: From October 1998 until March 2005, a total of 28 patients were admitted or transferred to our department with an rAAA. They were all treated according to a management protocol of intention-to-treat with endovascular techniques. Twenty of the patients received endovascular treatment and the remaining 8 underwent an open surgery procedure. Results: The mortality rate of the endovascularly treated patients was 40% (8 in 20), whereas of the 8 surgical patients 3 survived (mortality = 62.5%). The overall mortality rate of the 28 patients admitted with an rAAA was 46.4% (13 of 28 patients). Conclusions: In our experience the intension-to-treat protocol for rAAA offered acceptable results in terms of mortality rates. Multi-center studies are necessary to establish the role of endovascular treatment in patients with rAAA.
Settore MED/22 - Chirurgia Vascolare
2006
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/30017
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