Key result
Endovascular aortic balloon control was not significantly associated with lower 30-day mortality compared to open aortic cross clamp (OR 0.75; 95% CI 0.24-2.38; P=0.63).
Why the study?
The study was conducted to determine the 30-day mortality of endovascular aortic balloon control compared with open aortic cross clamp in open surgical repair of ruptured abdominal aortic aneurysms.
Does endovascular aortic balloon control reduce 30-day mortality compared to open aortic cross clamp in adult patients undergoing open surgical repair of ruptured abdominal aortic aneurysms?
Cohort (n=174)
No
Does endovascular aortic balloon control reduce 30-day mortality compared to open aortic cross clamp in adult patients undergoing open surgical repair of ruptured abdominal aortic aneurysms?
Endovascular aortic balloon control yields similar 30-day mortality to open aortic cross clamping during open surgical repair of ruptured abdominal aortic aneurysms, offering a viable alternative approach.
Answers are grounded in this paper and cite their sources.
No mortality difference with endovascular balloon control; leaves open its role versus open clamping in ruptured AAA repair.
BACKGROUND: To determine 30-day mortality of endovascular aortic balloon control compared with open aortic cross clamp in open surgical repair (OSR) of ruptured abdominal aortic aneurysms (rAAAs). METHODS: A retrospective cohort review was performed of all adult patients who underwent OSR of an infrarenal rAAA between 2001 and 2018 at a single tertiary care center. A total of 174 patients were identified, of which 21 patients received endovascular aortic balloon control and 137 patients received an open aortic cross clamp. Primary outcome was 30-day mortality. Two-variable multivariate logistic regression was adjusted for preoperative blood pressure and age. RESULTS: Endovascular aortic balloon control was nonsignificantly associated with lower mortality (adjusted odds ratio [OR] = 0.75 (95% confidence interval [CI] 0.24 to 2.38), P = 0.63), and when placed under local anesthesia showed a trend toward improved mortality (adjusted OR = 0.34 (95%CI 0.06 to 1.77), P = 0.19). Balloon placement under general anesthesia was nonsignificantly associated with worse mortality (adjusted OR = 2.50 (95%CI 0.35 to 9.13), P = 0.46). CONCLUSIONS: There is no significant difference in mortality with the use of endovascular aortic balloon control in rAAA patients undergoing OSR, and it may be considered as an alternative approach to open aortic cross clamp in properly selected patients.
No takes yet. Share an insight, caveat, or question.
Jones et al. (2024) conducted a cohort in ruptured abdominal aortic aneurysms (rAAAs) (n=174). Endovascular aortic balloon control vs. Open aortic cross clamp was evaluated on 30-day mortality (OR 0.75, 95% CI 0.24-2.38, p=0.63). Endovascular aortic balloon control was not significantly associated with lower 30-day mortality compared to open aortic cross clamp (OR 0.75; 95% CI 0.24-2.38; P=0.63).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: