title: Ruptured abdominal aortic aneurysm: endovascular program development and results.
abstract: Improvements in endovascular technology and techniques have allowed us to treat patients in ways we never thought possible. Today endovascular treatment of ruptured abdominal aortic aneurysms is associated with markedly decreased morbidity and mortality when compared to the open surgical approach, yet there are several fundamental obstacles in our ability to offer these endovascular techniques to most patients with ruptured aneurysms. This article will focus on the technical aspects of endovascular aneurysm repair for rupture, with particular attention to developing a standardized multidisciplinary approach that will help ones ability to deal with not just the technical aspects of these procedures, but also address some of the challenges including: the availability of preoperative CT, the choice of anesthesia, percutaneous vs. femoral cut-down approach, use of aortic occlusion balloons, need for bifurcated vs. aorto-uniiliac stentgrafts, need for adjunctive procedures, diagnosis and treatment of abdominal compartment syndrome, and conversion to open surgical repair.
authors.affiliation: The Vascular Group, PLLC, 43 New Scotland Avenue, Albany, NY 12208, USA. mehtam@albanyvascular.com
authors.forename: Manish
authors.initials: M
authors.lastname: Mehta
authors.forename: Paul B
authors.initials: PB
authors.lastname: Kreienberg
authors.forename: Sean P
authors.initials: SP
authors.lastname: Roddy
authors.forename: Philip S K
authors.initials: PS
authors.lastname: Paty
authors.forename: John B
authors.initials: JB
authors.lastname: Taggert
authors.forename: Yaron
authors.initials: Y
authors.lastname: Sternbach
authors.forename: Jeffery
authors.initials: J
authors.lastname: Hnath
authors.forename: Kathleen J
authors.initials: KJ
authors.lastname: Ozsvath
authors.forename: Benjamin B
authors.initials: BB
authors.lastname: Chang
authors.forename: Dhiraj M
authors.initials: DM
authors.lastname: Shah
authors.forename: R Clement
authors.initials: RC
authors.lastname: Darling
mesh_terms: D017542:Aneurysm, Ruptured / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*