Key result
Emergency EVAR for ruptured or symptomatic AAA yields ~20% 30-day mortality with high technical success.
Why the study?
Early experience with endovascular treatment of symptomatic non-ruptured or ruptured abdominal aortic aneurysms was reported to assess feasibility and outcomes.
Population
46 patients with symptomatic non-ruptured or ruptured abdominal aortic aneurysms
Comparison
Endovascular aneurysm repair vs open repair based on aneurysm anatomy suitability
Design
Single-center observational case series
Follow-up
Median 185 days; range 30-730 days
Authors
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May support emergency EVAR in ruptured AAAs; hypothesis-generating and requires randomized confirmation before practice change.
Observational (n=46)
No
Emergency endovascular aneurysm repair is a feasible treatment for acute symptomatic or ruptured abdominal aortic aneurysms, demonstrating high deployment success and acceptable early mortality.
Guzzardi et al. (2012) conducted an observational in Acute symptomatic or ruptured abdominal aortic aneurysm (n=46). Emergency endovascular aneurysm repair (EVAR) was evaluated on 30-day mortality. Emergency endovascular aneurysm repair for symptomatic or ruptured abdominal aortic aneurysms was feasible, achieving a 96% successful deployment rate and a 19.5% 30-day mortality rate.
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