Strategies for Ruptured Abdominal Aortic Aneurysms

Received 7 January 2008; received in revised form 11 February 2008; accepted 11 February 2008.

Ruptured abdominal aortic aneurysms (AAAs) represent a lethal condition. The morbidity and mortality rates associated with open surgical repair remain alarmingly high and endoluminal exclusion may be a preferred alternative. Outlined in this review are suggested methods for expedient endovascular repair of ruptured AAAs that involve a multidisciplinary approach. Institutional comparative outcomes of open versus stent-graft repair are also reviewed in lieu of randomized trial data.

Abbreviations: AAA, abdominal aortic aneurysm, ACS, abdominal compartment syndrome, AUI, aortouniiliac, EVAR, endovascular aneurysm repair

Division of Vascular Surgery, Feinberg School of Medicine, Northwestern University, 201 East Huron Street, Galter 10-105, Chicago, IL 60611.

Address correspondence to M.K.E.

Neither of the authors has identified a conflict of interest.

PII: S1051-0443(08)00214-5

doi:10.1016/j.jvir.2008.02.003

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