Ruptured aneurysm: therapy of abdominal compartment syndrome post EVAR
© Alberti et al; licensee BioMed Central Ltd. 2011
Published: 24 August 2011
Materials and methods
Thirty-day mortality was 22.6% (12/53). Early mortality was recorded in unstable patients only. Stable patients (24) had no mortality in the first 30 days. Among patients who underwent retro-peritoneal drainage, the 30-day mortality rate was 33.3% (3/9). At a median follow up of 34 months (33.8 + 17.0) 3 patients died of aneurysm or procedure related causes.
One of the priorities in the management of r-EVAR is to prevent and eventually treat the ACS. A surgical evacuation of the retroperitoneal hematoma through extraperitoneal access has considerable advantages, mainly in high risk and older patients. In r-EVAR the particular factor is the retroperitoneal hematoma. Therefore we perform abdominal decompression via retroperitoneal access.
- Marin ML, Veith FJ, Cynamon J, Sanchez LA, Lyon RT, Levine BA, et al: Initial experience with transluminally placed endovascular grafts for the treatment of complex vascular lesions. Ann Surg. 1995, 222: 449-65.PubMed CentralView ArticlePubMedGoogle Scholar
- Mastracci TM, Garrido-Olivares L, Cinà CS, Clase CM: Endovascular repair of ruptured abdominal aortic aneurysms: a systematic review and meta-analysis. J Vasc Surg. 2008, 47 (1): 214-221. 10.1016/j.jvs.2007.07.052.View ArticlePubMedGoogle Scholar
- Ten Bosch JA, Teijink JA, Willigendael EM, Prins MH: Endovascular aneurysm repair is superior to open surgery for ruptured abdominal aortic aneurysms in EVAR-suitable patients. J Vasc Surg. 2010, 52 (1): 13-8. 10.1016/j.jvs.2010.02.014.View ArticlePubMedGoogle Scholar
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