Invited Critique |

Improved Survival After Abdominal Aortic Aneurysm Rupture by Offering Both Open and Endovascular Repair—Invited Critique

William C. Pevec, MD
Arch Surg. 2008;143(6):550. doi:10.1001/archsurg.143.6.550.
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Dr Wibmer and colleagues present a well-written review of the outcomes of treatment of patients with rAAA. They compare a recent 41-month experience in which stable, older patients with rAAA were preferentially treated with endovascular repair and younger, unstable patients were treated with open repair, with historical controls all treated with open repair.

The authors found that stable patients with rAAA who underwent endovascular repair had a mortality rate of 11%. However, 38% (6 of 16) needed additional operations for abdominal compartment syndrome (n = 3) or revision of the endograft (n = 3). Endovascular repair was not associated with a shorter length of stay.

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