Endovascular approaches offer distinct advantages for managing ruptured abdominal and thoracic aortic aneurysms, though time and efficiency remain critical.
May inform selective endovascular use in ruptured aortic aneurysms; literature review leaves timing and efficiency optimization open for prospective trials.
Management of acute pathology remains one of the most challenging clinical entities, with a persistently high mortality rate both prior to and upon arrival to a hospital. Responding to the distinct advantages of endovascular approaches to aortic disease, many high-volume cardiovascular centers have focused on endovascular therapies for managing patients with ruptured or leaking aortic aneurysms and other acute aortic syndromes. Nonetheless, similar to outcomes for other surgical emergencies, time and efficiency are critical in managing these conditions. Early diagnosis, transport to an appropriate acute care facility, rapid institution of optimal medical management, availability of cardiovascular anesthesia and intensive care, and appropriate and timely surgical intervention continue to be the keys to success. This article discusses the endovascular approach to ruptured abdominal and thoracic aortic aneurysms.
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Hassoun et al. (2011) studied this question.
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