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

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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.

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Authors and Affiliations

  1. 1st Unit of Vascular Surgery, Istituto Policlinico San Donato–School of Vascular Surgery, University of Milan, Milan, Italy

    Ilias Dalainas MD, PhD, Giovanni Nano MD, Paolo Bianchi MD, Silvia Stegher MD, Renato Casana MD, Giovanni Malacrida MD & Domenico G. Tealdi MD

  2. Via Triulziana 36, 20097, Milan, San Donato, Italy

    Ilias Dalainas MD, PhD

Authors
  1. Ilias Dalainas MD, PhD
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  2. Giovanni Nano MD
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  3. Paolo Bianchi MD
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  4. Silvia Stegher MD
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  5. Renato Casana MD
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  6. Giovanni Malacrida MD
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  7. Domenico G. Tealdi MD
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Correspondence to Ilias Dalainas MD, PhD.

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Dalainas, I., Nano, G., Bianchi, P. et al. Endovascular Techniques for the Treatment of Ruptured Abdominal Aortic Aneurysms: 7-year Intention-to-treat Results. World J. Surg. 30, 1809–1814 (2006). https://doi.org/10.1007/s00268-005-0667-8

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  • DOI: https://doi.org/10.1007/s00268-005-0667-8

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