TY - JOUR
T1 - Emergency endovascular treatment of emergent or ruptured aortic aneurysms
T2 - A single centre experience
AU - England, Andrew
AU - Butterfield, John S.
AU - Nasim, Akhtar
AU - Welch, Mark
AU - McCollum, Charles N.
AU - Ashleigh, Raymond J.
PY - 2007/5
Y1 - 2007/5
N2 - Objective: To report our experience with emergency endovascular repair (eEVAR) in patients with ruptured or acutely symptomatic AA. Methods: From August 1998 to June 2004, 22 high-risk patients (21 men, median age 74 years, range 15-84 years) with ruptured or acutely symptomatic aneurysms underwent eEVAR using Talent endoprostheses. All procedures were performed in the operating theatre by a surgical/radiology team. Indications for repair, co-morbidities and outcomes were recorded with follow-up by US and CT scanning. Results: Of 22 eEVARs, 13 patients had abdominal AA and nine patients had thoracic AA. Nineteen (86.4%) repairs were technically successful, there was one patient with a type I proximal endoleak treated conservatively and two patients died during their inpatient period (myocardial infarction and broncho-pneumonia). On follow-up of the 20 survivors (median 7 months, range 0-48 months), there were three further deaths, and two further endoleaks. The 1-year survival by life-table analysis is 75 ± 9.8% and 13 patients are free from reintervention at last follow-up. Conclusion: eEVAR had encouraging initial results in selected high-risk patients.
AB - Objective: To report our experience with emergency endovascular repair (eEVAR) in patients with ruptured or acutely symptomatic AA. Methods: From August 1998 to June 2004, 22 high-risk patients (21 men, median age 74 years, range 15-84 years) with ruptured or acutely symptomatic aneurysms underwent eEVAR using Talent endoprostheses. All procedures were performed in the operating theatre by a surgical/radiology team. Indications for repair, co-morbidities and outcomes were recorded with follow-up by US and CT scanning. Results: Of 22 eEVARs, 13 patients had abdominal AA and nine patients had thoracic AA. Nineteen (86.4%) repairs were technically successful, there was one patient with a type I proximal endoleak treated conservatively and two patients died during their inpatient period (myocardial infarction and broncho-pneumonia). On follow-up of the 20 survivors (median 7 months, range 0-48 months), there were three further deaths, and two further endoleaks. The 1-year survival by life-table analysis is 75 ± 9.8% and 13 patients are free from reintervention at last follow-up. Conclusion: eEVAR had encouraging initial results in selected high-risk patients.
KW - Acutely symptomatic aneurysm
KW - Endovascular aortic aneurysm repair
KW - Ruptured aneurysm
KW - Stent-graft
UR - https://www.scopus.com/pages/publications/34247370211
U2 - 10.1016/j.radi.2006.01.002
DO - 10.1016/j.radi.2006.01.002
M3 - Article
AN - SCOPUS:34247370211
SN - 1078-8174
VL - 13
SP - 103
EP - 108
JO - Radiography
JF - Radiography
IS - 2
ER -
