MINIMALLY INVASIVE APRROACH FOR RUPTURED ABDOMINAL AORTICANEURYSMS

Abstract

Objective: Endovascular treatment for ruptured abdominal aortic aneurysms with endovascular aortic repair (EVAR) has revolutionized and remarkably reduced operative mortality compared with the traditional open surgical repair. The objective is to present a single-institution experience with EVAR and fenestrated endovascular aortic repair (FEVAR) for ruptured abdominal aortic aneurysms. Material and methods: A retrospective analysis found 11 patients who had been presented with ruptured abdominal aortic aneurysms (AAA) and underwent emergency EVAR or FEVAR in the past 2 years at our institution. Results: All of the patients are males. The age range was 57-81 years. First procedure was performed on 11.11.2022 and the last on 24.12.2024. The median measured AAA size in largest dimension was 7.55 cm. None of the patients had prior aortic repair. Presenting at our department, all of the patients had abdominal pain, which wad acute start from the same day or the day before. The patients were all treated emergently. Bilateral common femoral artery access was used in all patients. Two patients died, one of them in the early postoperative period, the other one month after the intervention. One patient underwent second intervention for endoleak treatment. All other patients were discharged home and were followed up during those two years. Conclusion: EVAR and FEVAR for ruptured abdominal aortic aneurysms have favorable outcomes, even with hemodynamic instability, technical success can be achieved with most patients able to be discharged home.