Key result
Endovascular aneurysm repair was associated with significantly lower in-hospital mortality compared to open repair (0% vs 28.5%) in patients with ruptured abdominal aortic aneurysms.
Why the study?
Improving surgical outcomes of ruptured abdominal aortic aneurysms requires immediate surgery and determining appropriate treatment strategies, including surgical method selection and prevention of postoperative complications.
Does EVAR improve survival compared to open repair in patients with ruptured abdominal aortic aneurysm?
Cohort (n=91)
No
Does EVAR improve survival compared to open repair in patients with ruptured abdominal aortic aneurysm?
Absolute Event Rate: 0% vs 28.5%
p-value: p=0.031
While EVAR had lower in-hospital mortality than open repair for ruptured abdominal aortic aneurysms, long-term survival was similar, emphasizing the need for immediate intervention and management of abdominal compartment syndrome.
May support EVAR preference for in-hospital survival in ruptured AAA; leaves open long-term equivalence and need for RCTs.
: To improve the surgical outcomes of ruptured abdominal aortic aneurysms, it is necessary to start surgery immediately. Therefore, the choice of surgical method (open surgery or EVAR) should be based on the resources and discretion of the hospital. To prevent postoperative intestinal necrosis, risk factors for acute compartment syndrome should be considered, and open abdominal management should be introduced.
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Maze et al. (2022) conducted a cohort in Ruptured abdominal aortic aneurysm (n=91). Endovascular aneurysm repair (EVAR) vs. Open repair was evaluated on In-hospital mortality (p=0.031). Endovascular aneurysm repair was associated with significantly lower in-hospital mortality compared to open repair (0% vs 28.5%) in patients with ruptured abdominal aortic aneurysms.
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