Abstract
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Abdominal aortic aneurysm should always be suspected in men older than 60 years with acute abdominal pain.
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Patients who present with the triad of circulatory shock, abdominal or back pain, and a positive examination for a pulsating mass in the abdomen should immediately be transferred to the operating room for resuscitation and emergency treatment.
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Urgent surgery should not be delayed by unnecessary computed tomography or ultrasound scans.
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Ali MM, Flahive J, Schanzer A, Simons JP, Aiello FA, Doucet DR, Messina LM, Robinson WP. In patients stratified by preoperative risk, endovascular repair of ruptured abdominal aortic aneurysms has a lower in-hospital mortality and morbidity than open repair. J Vasc Surg. 2015;61:1399–1407
van Beek SC, Conijn AP, Koelemay MJ, Balm R. Editor’s Choice – Endovascular aneurysm repair versus open repair for patients with a ruptured abdominal aortic aneurysm: a systematic review and meta-analysis of short-term survival. Eur J Vasc Endovasc Surg. 2014;47:593–602.
Bengtsson H, Bergquist D. Ruptured abdominal aortic aneurysm: a population-based study. J Vasc Surg. 1993;18:74–80
Edwards ST, Schermerhorn ML, O'Malley AJ, et al.. Comparative effectiveness of endovascular versus open repair of ruptured abdominal aortic aneurysm in the Medicare population. J Vasc Surg. 2014;59:575–82
Gupta PK, Ramanan B, Engelbert TL, Tefera G, Hoch JR, Kent KC. A comparison of open surgery versus endovascular repair of unstable ruptured abdominal aortic aneurysms. J Vasc Surg. 2014 ;60:1439–45.
Harris LM, Faggioli GL, Fiedler R et al. Ruptured abdominal aortic aneurysms: factors affecting mortality rates. J Vasc Surg. 1991;14:812–820
Johansson G, Swedenborg J. Ruptured abdominal aortic aneurysms: a study of incidence and mortality. Br J Surg. 1986;73:101–103
Johnston KW. Ruptured abdominal aortic aneurysms: six-year follow-up of a multicenter prospective study. J Vasc Surg. 1994;19:888–900
Kapma MR, Dijksman LM, Reimerink JJ, et al. Cost-effectiveness and cost-utility of endovascular versus open repair of ruptured abdominal aortic aneurysm in the Amsterdam Acute Aneurysm Trial. Br J Surg. 2014;101:208–215.
McPhee J, Eslami MH, Arous EJ, Messina LM, Schanzer A. Endovascular treatment of ruptured abdominal aortic aneurysms in the United States (2001–2006): a significant survival benefit over open repair is independently associated with increased institutional volume. J Vasc Surg. 2009;49:817–26
von Meijenfeldt GC, Ultee KH, Eefting D, et al. Differences in mortality, risk factors, and complications after open and endovascular repair of ruptured abdominal aortic aneurysms. Eur J Vasc Endovasc Surg. 2014;47:479–486
Ohki T, Veith FJ. Endovascular grafts and other image-guided catheter-based adjuncts to improve the treatment of ruptured aortoiliac aneurysms. Ann Surg. 2000;232(4):466–479
Ouriel K, Geary K, Green RM, et al. Factors determining survival after ruptured aortic aneurysm: the hospital, the surgeon, and the patient. J Vasc Surg. 1990;12:28–33
Park BD, Azefor N, Huang CC, Ricotta JJ. Trends in treatment of ruptured abdominal aortic aneurysm: impact of endovascular repair and implications for future care. J Am Coll Surg. 2013;216:745–754
Peppelenbosch N, Geelkerken RH, Soong C, Cao P, et al. Endograft treatment of ruptured abdominal aortic aneurysms using the Talent aortouniiliac system: an international multicenter study. J Vasc Surg. 2006;43:1111–1123
Reimerink JJ, Hoornweg LL, Vahl AC, et al. Endovascular repair versus open repair of ruptured abdominal aortic aneurysms: a multicenter randomized controlled trial. Ann Surg. 2013;258:248–256.
Starnes BW, Mehta M, Veith FJ (eds): Ruptured abdominal aortic aneurysm: The definitive manual. Springer Nature, Cham, Switzerland, 2017
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Wahlberg, E., Goldstone, J. (2017). Abdominal Aortic Aneurysms. In: Emergency Vascular Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54019-0_7
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