Impact of an emergency endovascular aneurysm repair protocol on 30-day ruptured abdominal aortic aneurysm mortality

The sandwich technique to preserve the internal iliac artery during EVAR for ruptured abdominal aortic aneurysm with congenital anomalies

“…EVAR is considered the first-choice emergency intervention option for rAAA due to its minimally invasive nature, reduction in mortality and morbidity rates in the first 30 days, and faster recovery time [ [1] , [2] – 3 ]. However, according to the standard and extended instructions for use of currently available devices (such as Medtronic Endurant IIs, Medtronic Talent, and Cook Zenit), the minimum length of the distal landing zone at the nonpathological site of the iliac artery should be at least 10 mm.…”

“…The procedure offers several advantages over open surgery, including reduced mortality and morbidity rates and a shorter recovery time in the first 30 days. EVAR is particularly beneficial in emergency situations where a ruptured AAA (rAAA) requires urgent intervention [ 2 , 3 ]. Contraindications for this approach primarily stem from anatomical abnormalities of the aorta and iliac arteries.…”

Exploiting endovascular aortic repair as a minimally invasive method – Nine years of experience in a non-university hospital

“…Exploiting all the potential benefits of EVAR may not be possible from the introduction of the method in a vascular center. Experience over time, acquiring technical skills, establishing adequate protocols, necessary equipment and interdisciplinary relations are all factors influencing the extent to which EVARs potential benefits are realized [4] , [5] . Performing EVARs in an emergency setting is a complex and demanding task requiring experience from the elective setting and training over time [6] .…”

The Management of Ruptured Abdominal Aortic Aneurysms: An Ongoing Challenge

“…The potential superiority of rEVAR in reducing mortality over rOSR has been largely investigated among the scientific community [57][58][59][60][61].…”