Ten Years of Urgent Care of Ruptured Abdominal Aortic Aneurysms in a High-Volume-Center

Behrendt, Christian‐Alexander; Kölbel, Tilo; Larena‐Avellaneda, Axel; Heidemann, Franziska; Veliqi, Egzon; Rieß, Henrik; Kluge, Stefan; Wachs, Christian; Püschel, Klaus; Debus, Eike Sebastian

doi:10.1016/j.avsg.2019.09.035

Cited by 1 publication

(3 citation statements)

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“…Behrendt et al . published a retrospective, cross–sectional cohort study reporting comparable 30‐day mortality rates for rAAA managed via EVAR and OR 16 . Reported mortality rates for rAAA managed with EVAR were 18–34%, in comparison to open mortality rates of 24–37% 16 .…”

Section: Discussionmentioning

confidence: 99%

“…Behrendt et al published a retrospective, cross-sectional cohort study reporting comparable 30-day mortality rates for rAAA managed via EVAR and OR. 16 Reported mortality rates for rAAA managed with EVAR were 18-34%, in comparison to open mortality rates of 24-37%. 16 Further to this, Wang et al reported short-term and mid-term survival benefits for EVARs were superior to OR, with a 27% mortality rate at 1 year in the EVAR group compared to 41% in the open group.…”

Section: Mortalitymentioning

confidence: 96%

“…16 Reported mortality rates for rAAA managed with EVAR were 18-34%, in comparison to open mortality rates of 24-37%. 16 Further to this, Wang et al reported short-term and mid-term survival benefits for EVARs were superior to OR, with a 27% mortality rate at 1 year in the EVAR group compared to 41% in the open group. 13 Similarly, Varkevisser et al reported increased 5 year survival rate for patients managed with EVAR in the setting of a ruptured abdominal aortic aneurysm.…”

Section: Mortalitymentioning

confidence: 96%

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Has EVAR changed the outcomes of ruptured abdominal aortic aneurysms? A decades worth of experience in an Australian Teaching Hospital

Boer

Shiraev

Waller

et al. 2022

ANZ Journal of Surgery

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Background Ruptured abdominal aortic aneurysms (rAAA) are associated with significant mortality, and equipoise remains as to whether patients managed with endovascular stent grafts (rEVAR) demonstrate better outcomes when compared to traditional open repair (OR). This study sought to examine the outcomes of patients presenting with rAAA to our institution and assess the perioperative outcomes and outpatient mortality of patients over the past decade. Methods A retrospective analysis was conducted. Patients treated for rAAA between 2010 and 2019 were identified from a search of the hospital database for ACHI and ICD‐10 codes for repair of AAA. Demographic, operative and post‐operative variables were collected from electronic medical records of identified patients. Results Eighty patients were identified, 51 of whom presented with a rAAA. The majority of repairs were rEVARs (59%). Median age was 76 years. Median length of admission to ICU was 3 days, and median length of hospital admission was 10 days. Overall in‐patient mortality was 26%, with rates of 39% at 3 years and 47% at 5 years. No significant difference in outpatient mortality was found in patients undergoing rEVAR compared to OR, with rates of 61% at 5 years compared to 65% at 5 years, respectively (p = 0.8). Conclusion Perioperative outcomes of our cohort of patients undergoing endovascular repair compared to open repair for ruptured and symptomatic AAAs are comparable over the past decade. Given equipoise remains between repair methods, further observational studies are required to quantify benefits of OR and endovascular repairs for ruptured and symptomatic AAAs.

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Section: Discussionmentioning

confidence: 99%

Section: Mortalitymentioning

confidence: 96%