Key result
EVAR is increasingly recommended as first-line for anatomically feasible RAAA, though open repair remains essential.
Why the study?
EVAR has emerged alongside open surgical repair as an option for RAAA, requiring vascular surgeons to be well versed in both techniques and the management of complications such as abdominal compartment syndrome.
This review highlights the importance of vascular surgeons being proficient in both open surgical repair and endovascular aneurysm repair for ruptured abdominal aortic aneurysms, as well as managing abdominal compartment syndrome.
Supports EVAR preference when feasible in ruptured AAA; leaves open need for randomized confirmation of outcomes.
In addition to traditional open surgical repair (OSR), endovascular aneurysm repair (EVAR) is currently another strong option to treat RAAA. All vascular surgeons who try to save RAAA patients must be deeply versed in both OSR and EVAR. In this article, current trend of RAAA treatment and abdominal compartment syndrome, which has been most important postoperative complication, are reviewed. (This is a translation of Jpn J Vasc Surg 2019; 28: 127-132.).
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Hiroyuki Ito (2019) conducted a review in Ruptured abdominal aortic aneurysm (RAAA). Endovascular aneurysm repair (EVAR) and Open surgical repair (OSR) was evaluated. Endovascular aneurysm repair (EVAR) is increasingly recommended as a first-line treatment for ruptured abdominal aortic aneurysms when anatomically feasible, though open surgical repair remains essential.
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