Key result
Double-balloon EVAR for ruptured AAA yields ~17% mortality at 30 days and one year.
Why the study?
Does a double-balloon technique and endovascular strategy improve outcomes in patients with ruptured abdominal aortic aneurysms?
Case Report (n=12)
No
Does a double-balloon technique and endovascular strategy improve outcomes in patients with ruptured abdominal aortic aneurysms?
A double-balloon endovascular technique is feasible for the management of ruptured abdominal aortic aneurysms, demonstrating a 17% 1-year mortality rate in a small case series.
Double-balloon EVAR technique feasible in small rAAA cohort; leaves open survival benefit pending larger trials.
PURPOSE: Mortality in patients with ruptured abdominal aortic aneurysms (rAAAs) has remained high despite advances in interventions. Endovascular aneurysm repair (EVAR) was recently developed for treatment of rAAAs. In this study, we assessed our endovascular strategy including a double-balloon technique for rAAA. METHODS: We analyzed 12 consecutive patients with rAAAs who were treated by our double-balloon technique and endovascular strategy from March 2013 to July 2016. RESULTS: The 30-day and 1-year mortality rates were both 17%. The mean times from admission to arrival at the hybrid operating room, from admission to aortic occlusion, and from admission to completion of EVAR were 46.8, 63.5, and 110.0 minutes, respectively. CONCLUSION: This study indicates that the herein-described double-balloon endovascular technique is feasible for use in the management of rAAA.
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Nakayama et al. (2018) conducted a case report in Ruptured abdominal aortic aneurysm (n=12). Double-balloon technique and endovascular aneurysm repair (EVAR) was evaluated on 30-day and 1-year mortality rates. Treatment of ruptured abdominal aortic aneurysms using a double-balloon endovascular technique resulted in 30-day and 1-year mortality rates of 17%.
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