Article

World Journal of Surgery

, Volume 30, Issue 10, pp 1809-1814

First online:

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

  • Ilias DalainasAffiliated with1st Unit of Vascular Surgery, Istituto Policlinico San Donato–School of Vascular Surgery, University of Milan Email author 
  • , Giovanni NanoAffiliated with1st Unit of Vascular Surgery, Istituto Policlinico San Donato–School of Vascular Surgery, University of Milan
  • , Paolo BianchiAffiliated with1st Unit of Vascular Surgery, Istituto Policlinico San Donato–School of Vascular Surgery, University of Milan
  • , Silvia StegherAffiliated with1st Unit of Vascular Surgery, Istituto Policlinico San Donato–School of Vascular Surgery, University of Milan
  • , Renato CasanaAffiliated with1st Unit of Vascular Surgery, Istituto Policlinico San Donato–School of Vascular Surgery, University of Milan
  • , Giovanni MalacridaAffiliated with1st Unit of Vascular Surgery, Istituto Policlinico San Donato–School of Vascular Surgery, University of Milan
  • , Domenico G. TealdiAffiliated with1st Unit of Vascular Surgery, Istituto Policlinico San Donato–School of Vascular Surgery, University of Milan

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access

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.