Key result
Endovascular aortic repair has become the preferred treatment method for ruptured abdominal aortic aneurysms when anatomically feasible, replacing traditional open aortic repair.
Why the study?
Does endovascular aortic repair improve outcomes compared to open aortic repair in patients with ruptured abdominal aortic aneurysms?
Does endovascular aortic repair improve outcomes compared to open aortic repair in patients with ruptured abdominal aortic aneurysms?
Answers are grounded in this paper and cite their sources.
Endovascular aortic repair has become the preferred, minimally invasive treatment for ruptured abdominal aortic aneurysms when anatomically feasible.
Since its inception in the 1990s, endovascular aortic repair has quickly replaced traditional open aortic repair (OAR) as the most common method for elective treatment of abdominal aortic aneurysms (AAA). After numerous iterations and failures of different endografts, the technology has undergone dramatic improvements with evidence pointing to this technology serving as a safe and durable modality, albeit with the requirement of routine surveillance. Not surprisingly, the ability to treat patients with AAAs with minimally invasive technology that could theoretically mitigate some of the risks associated with OAR, such as aortic cross clamping and significant blood loss, was also adopted in patients with ruptured AAAs and is now the preferred treatment method if anatomically feasible.
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Fairman et al. (2020) conducted a review in Ruptured Abdominal Aortic Aneurysms. Endovascular aortic repair vs. Open aortic repair was evaluated. Endovascular aortic repair has become the preferred treatment method for ruptured abdominal aortic aneurysms when anatomically feasible, replacing traditional open aortic repair.
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