Why the study?
Does endovascular aneurysm repair (EVAR) compared to open repair, and specific clinical factors like anesthesia type, affect 30-day mortality in patients with ruptured abdominal aortic aneurysm?
Population
558 patients with a proven diagnosis of ruptured or symptomatic abdominal aortic aneurysm
Comparison
Endovascular aneurysm repair (EVAR) strategy vs Open repair strategy
Design
RCT, Allocated to a strategy of endovascular aneurysm repair or to open repair
Follow-up
30-day
Authors
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Local anesthesia for EVAR in ruptured AAA warrants consideration to cut mortality; extends RCT data on procedural factors.
Does endovascular aneurysm repair (EVAR) compared to open repair, and specific clinical factors like anesthesia type, affect 30-day mortality in patients with ruptured abdominal aortic aneurysm?
In patients with ruptured abdominal aortic aneurysm, performing EVAR under local anesthesia is associated with significantly lower 30-day mortality compared to general anesthesia, and a minimum blood pressure of 70 mmHg may be too low for permissive hypotension.
Powell et al. (2014) studied this question.
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