World Journal of Surgery

, Volume 30, Issue 10, pp 1809–1814

Endovascular Techniques for the Treatment of Ruptured Abdominal Aortic Aneurysms: 7-year Intention-to-treat Results

Authors

    • 1st Unit of Vascular Surgery, Istituto Policlinico San Donato–School of Vascular SurgeryUniversity of Milan
  • Giovanni Nano
    • 1st Unit of Vascular Surgery, Istituto Policlinico San Donato–School of Vascular SurgeryUniversity of Milan
  • Paolo Bianchi
    • 1st Unit of Vascular Surgery, Istituto Policlinico San Donato–School of Vascular SurgeryUniversity of Milan
  • Silvia Stegher
    • 1st Unit of Vascular Surgery, Istituto Policlinico San Donato–School of Vascular SurgeryUniversity of Milan
  • Renato Casana
    • 1st Unit of Vascular Surgery, Istituto Policlinico San Donato–School of Vascular SurgeryUniversity of Milan
  • Giovanni Malacrida
    • 1st Unit of Vascular Surgery, Istituto Policlinico San Donato–School of Vascular SurgeryUniversity of Milan
  • Domenico G. Tealdi
    • 1st Unit of Vascular Surgery, Istituto Policlinico San Donato–School of Vascular SurgeryUniversity of Milan
Article

DOI: 10.1007/s00268-005-0667-8

Cite this article as:
Dalainas, I., Nano, G., Bianchi, P. et al. World J. Surg. (2006) 30: 1809. doi:10.1007/s00268-005-0667-8

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.

Copyright information

© Société Internationale de Chirurgie 2006