Key result
In patients with acute abdominal aortic occlusion, in-hospital mortality was 14% after endovascular treatment and 13% after open surgery, and increased significantly with higher age and comorbidities.
Why the study?
Acute abdominal aortic occlusion is a rare, life-threatening vascular emergency that has been sparsely addressed scientifically, with most existing case series limited by small cohort sizes.
Does endovascular treatment compared to open surgery improve in-hospital mortality in patients with acute abdominal aortic occlusion?
Population
1160 cases with acute abdominal aortic occlusion and acute limb ischaemia undergoing invasive treatment in Germany
Comparison
Endovascular treatment vs open surgery
Design
Nationwide hospital statistics retrospective cohort study
Authors
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Similar mortality with endovascular versus open repair in acute abdominal aortic occlusion; leaves optimal strategy open for prospective trials.
Cohort (n=1,160)
Yes
Does endovascular treatment compared to open surgery improve in-hospital mortality in patients with acute abdominal aortic occlusion?
Absolute Event Rate: 14% vs 13%
The use of endovascular techniques for acute abdominal aortic occlusion has increased significantly from 2009 to 2020, though in-hospital mortality remains high for both endovascular and open surgical approaches.
Sieber et al. (2025) conducted a cohort in Acute abdominal aortic occlusion (n=1,160). Endovascular treatment vs. Open surgery was evaluated on in-hospital death. In patients with acute abdominal aortic occlusion, in-hospital mortality was 14% after endovascular treatment and 13% after open surgery, and increased significantly with higher age and comorbidities.
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