Endovascular treatment for ruptured abdominal aortic aneurysm

Dillon, Marianne; Blair, PH; Cardwell, Christopher; Ellis, PK; Harkin, Denis W.; Kee, Frank

doi:10.1002/14651858.cd005261

Cited by 18 publications

(18 citation statements)

References 25 publications

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“…5,6 Endovascular therapy is rapidly becoming the first line of treatment for aortic disease including dissection, injury, and aneurysm repair. [7][8][9] Decreased perioperative complication rates and lengths of stay 10 compared to traditional open approaches have been powerful instigators for this change and the continual push to expand current standards. In 2004, Sasahara et al developed a canine model to evaluate aortic stent grafting for invasive esophageal carcinoma and demonstrated successful resection of 1-cm segments of up to one-half the circumference of the aortic wall between 3 and 28 days after stent deployment.…”

Section: Discussionmentioning

confidence: 99%

En Bloc Resection of Pancoast Tumor with Adjuvant Aortic Endograft and Chemoradiation

Fischer

Marco³

et al. 2015

Methodist DeBakey Cardiovascular Journal

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Section: Discussionmentioning

confidence: 99%

En Bloc Resection of Pancoast Tumor with Adjuvant Aortic Endograft and Chemoradiation

Fischer

Marco³

et al. 2015

Methodist DeBakey Cardiovascular Journal

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“…Rupture of an AAA is a surgical emergency with a mortality rate, if untreated, of 90% at 6 weeks and an operative mortality rate of 30% to 60% [6][7][8][9]. In patients without hypertension [1,[10][11][12], a sealed aneurism could occur, without any significant change in blood values because of restricted blood loss.…”

Section: Discussionmentioning

confidence: 99%

Chronic Contained Rupture of an Abdominal Aortic Aneurysm: From Diagnosis to Endovascular Resolution

Gandini

Chiocchi

Maresca

et al. 2007

Cardiovasc Intervent Radiol

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A male patient, 69 years old, presented with fever, leucocytosis, and persistent low back pain; he also had an abdominal aortic aneurysm (AAA), as previously diagnosed by Doppler UltraSound (US), and was admitted to our hospital. On multislice computed tomography (msCT), a large abdominal mass having no definite border and involving the aorta and both of the psoas muscles was seen. This mass involved the forth-lumbar vertebra with lysis, thus simulating AAA rupture into a paraspinal collection; it was initially considered a paraspinal abscess. After magnetic resonance imaging examination and culture of the fluid aspirated from the mass, no infective organisms were found; therefore, a diagnosisof chronically contained AAA rupture was made, and an aortic endoprosthesis was subsequently implanted. The patient was discharged with decreased lumbar pain. At 12-month follow-up, no evidence of leakage was observed. To our knowledge, this is the first case of endoprosthesis implantation in a patient, who was a poor candidate for surgical intervention due to renal failure, leucocytosis and high fever, having a chronically contained AAA ruptured simulatingspodilodiscitis abscess. Appropriate diagnosis and therapy resolved potentially crippling pathology and avoided surgical graftrelated complications.

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“…Of the 40% of individuals who survive aneurysm rupture long enough to seek medical attention, 50-60% will survive operative repair. [1][2][3][4] The incidence of AAA sharply climbs in individuals from the sixth decade of life onwards. Guidelines now suggest a one-time screening of men between the ages of 65-75.…”

Section: Overviewmentioning

confidence: 99%

“…Endovascular repair in selected patients may be associated with a trend towards reductions in blood loss, duration of intensive care treatment, and mortality. 1 Initial management steps include immediately contacting vascular surgery and active resuscitation with fluids and blood products to maintain blood pressure between 80 to 100 mmHg. …”

Section: Managementmentioning

confidence: 99%

A 63-Year-Old Man with Lightheadedness and Flank Pain

Dmytriw¹,

Casey²,

Lightfoot³

2013

DMJ

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A 63-year-old man presents to the emergency department with a 3-hour history of sudden-onset sharp left flank pain radiating to the left lower quadrant. This is accompanied with nausea and vomiting. He also complains of lightheadedness as well as general weakness over the same time period. He has had documented hypertension for the past 10 years and has a 60 pack-year smoking history.He is pale and diaphoretic. His abdomen is soft, non-tender, with no palpable abnormalities. His physical examination is somewhat limited by his obese body habitus. His peripheral pulses are diminished. His vital signs are: HR 72, RR 16, BP 78/60, O 2 sat 99%. An enhanced computed tomography (CT) scan was obtained (Figure 1).

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Endovascular treatment for ruptured abdominal aortic aneurysm

Abstract: Harkin, DP 2017, 'Endovascular treatment for ruptured abdominal aortic aneurysm', The Cochrane Library. https://doi.

Cited by 18 publications

References 25 publications

En Bloc Resection of Pancoast Tumor with Adjuvant Aortic Endograft and Chemoradiation

En Bloc Resection of Pancoast Tumor with Adjuvant Aortic Endograft and Chemoradiation

Chronic Contained Rupture of an Abdominal Aortic Aneurysm: From Diagnosis to Endovascular Resolution

A 63-Year-Old Man with Lightheadedness and Flank Pain

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