Emergency endovascular repair for ruptured abdominal aneurysms - a feasibility study and report of 10 cases

dc.contributor.authorVan Marle, J.
dc.date.accessioned2007-11-01T13:51:56Z
dc.date.available2007-11-01T13:51:56Z
dc.date.issued2007-05
dc.description.abstractBACKGROUND: Endovascular aneurysm repair (EVAR) has been proved to be effective and safe in the elective management of abdominal aortic aneurysms (AAAs). Initial reports concerning endovascular management of ruptured aneurysms have been promising. OBJECTIVE: To determine the outcome of endovascular repair of ruptured aneurysms in the local setting. MATERIALS & METHODS: Patients who presented with ruptured AAAs were considered for endovascular repair if they were haemodynamically stable and had suitable aneurysm morphology for EVAR. RESULTS: Ten patients (9 males, 1 female) with a mean age of 74.9 years were treated. All aneurysms were successfully excluded using aorta uni-iliac stent grafts in 7 patients and bifurcated stent grafts in 2 patients. In 1 patient who had had a previous EVAR, a proximal extension device was used. Two patients died in the peri-operative period (30-day mortality of 20%) and 1 patient died after 2 months. Seven patients are still alive. No endo-leaks occurred in any of the survivors. CONCLUSION: Endovascular repair of ruptured AAAs is feasible with acceptable peri-operative mortality and short- to medium-term results.en
dc.format.extent842321 bytes
dc.format.mimetypeapplication/pdf
dc.identifier.citationVan Marle, J 2007, 'Emergency endovascular repair for ruptured abdominal aneurysms - a feasibility study and report of 10 cases', South African Journal of Surgery, vol. 45, no. 2, pp. 48-51. [http://www.hmpg.co.za/journaldetail.php?journalno=8]en
dc.identifier.issn0038-2361
dc.identifier.urihttp://hdl.handle.net/2263/3832
dc.language.isoenen
dc.publisherHealth and Medical Publishing Groupen
dc.rightsHealth and Medical Publishing Groupen
dc.subjectEndovascular aneurysm repairen
dc.subjectAbdominal aortic aneurysmsen
dc.subjectRuptured aneurysmsen
dc.subject.lcshAbdominal aneurysm
dc.subject.lcshBlood-vessels--Endoscopic surgery
dc.titleEmergency endovascular repair for ruptured abdominal aneurysms - a feasibility study and report of 10 casesen
dc.typeArticleen

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