الفهرس | Only 14 pages are availabe for public view |
Abstract Rupture of an abdominal aortic aneurysm (AAA) is one of the most serious vascular emergencies, and essentially a fatal condition if left untreated. Open surgical repair has been the standard treatment for many years, however with advances in endovascular techniques, EVAR presents as an important tool with potentially lower mortality rates in these cases. This study included 120 patients presenting with ruptured Abdominal Aortic Aneurysms (AAA); 60 consecutive patients receiving open repair and 60 consecutive patients receiving EVAR for treatment of ruptured AAA in the period between 15/6/2015 and 16/11/2021 We studied the outcomes in terms of technical aspects (including operative technique, technical success rate, mode of anaesthesia, intraoperative complications) as well as mortality rates at 30 days and 2 years (some patients were followed up to 5 years). We also studied post-operative complication rates (peri-operative and mid-term) T he results showed a technical success rate of 90% in the open surgical repair group, with 81.5% of these in the form of tube graft repairs. In the EVAR group, the success rate was 95%, with 94.9% of these in the form of standard infrarenal EVAR. |