Endovascular versus open repair for ruptured abdominal aortic aneurysm

VernacularTitle:破裂腹主动脉瘤开放手术与腔内修复早期效果单中心回顾性分析
Author: Bowen LIU ; Zhong CHEN ; Sheng WANG ; Yaoguo YANG ; Xiaobin TANG ; Lei KOU ; Hui LIU ; Zhangmin WU
Keywords: Aortic aneurysm,abdominal; Endovascular repair; Open surgery; Treatment outcome
From:Chinese Journal of General Surgery 2017;32(4):320-322
CountryChina
Language:Chinese
Abstract: Objective To compare the effect after endovascular repair (EVAR) or open repair (OR) of ruptured abdominal aortic aneurysm (rAAA) in Department of Vascular Surgery,Beijing Anzhen Hospital.Methods Clinical data of 46 repaired rAAAs patients was retrospectively analyzed from 2005 to 2015.The difference between the EVAR group and the OR group in perioperative mortality,operation time,ICU stay,blood transfused,length of stay (LOS),complication rate were compared by x2 test and t test.Results 18 rAAA patients were repaired by EVAR,aged from 51 to 91 with a mean of (68 ±9).28 were repaired by OR,aged from 41 to 83 with a mean of (70 ± 11).Perioperative mortality was 21.0％ for EVAR and 28.6％ for OR (P ＞0.05).LOS was (15.3 ±9.5) days for EVAR,and (23.9 ± 10.5) days for OR (P ＜0.05).Blood transfused was (3 210 ± 3 780) ml for EVAR and (4 814 ± 3 392) ml for OR (P＜0.05).ICU stay time was (7.7 ±4.2) d for EVAR and (4.2 ±2.5) d for OR (P＜0.05).Conclusion EVAR is a reliable approach for the treatment of acute rAAA.