title: Emergent endovascular repair of ruptured abdominal and thoracic aortic aneurysms in a single center: midterm outcomes.
abstract: OBJECTIVE
  Endovascular therapies may offer distinct advantages in acute aortic syndromes. In this paper, we present our experience with emergent endovascular repair of both abdominal and thoracic aortic ruptures and report early and midterm out comes.
  
  
  METHODS
  Data from all patients (n=96) who were treated by endovascular procedures between 2004 to 2012 were prospectively collected and early-midterm outcomes of the emergency (e) interventions for both abdominal (EVAR) and thoracic (TEVAR) aortic ruptures (n=20) were retrospectively analysed.
  
  
  RESULTS
  The mean age was 65 +- 11 years (range: 27-77 years)and 18 patients (90%) were male. Mean follow-up duration was 28 ± 21.2 months (range=1-57). Thirteen patients were treated by eEVAR (65%) and 7 by eTEVAR (35%). One patient who had a rupture of the aneurysm at arcus aorta level was treated by hybrid procedure (eTEVAR+ debranching).The hospital mortality rate was 20% (n=4) for all cases, 23.0% (n=3) for eEVAR and 14.2% (n=1) for eTEVAR. In the follow-up period, 3 patients (15.0%) had reinterventions.
  
  
  CONCLUSIONS
  Reinterventions and the necessity of close follow-up are the disadvantages of endovascular procedures.Even if that is the case, we believe that eEVAR eTEVAR in the acute setting of ruptured aorta in patients with suitable anatomy is a lifesaving option.
authors.forename: A Ümit
authors.initials: AÜ
authors.lastname: Gŭllŭ
authors.forename: Td
authors.initials: T
authors.lastname: Burnaz
authors.forename: Em
authors.initials: E
authors.lastname: Okten
authors.forename: S
authors.initials: S
authors.lastname: Senay
authors.forename: C
authors.initials: C
authors.lastname: Ariturk
authors.forename: F
authors.initials: F
authors.lastname: Toraman
authors.forename: M
authors.initials: M
authors.lastname: Kocyigit
authors.forename: S
authors.initials: S
authors.lastname: Yaylaci
authors.forename: Eh
authors.initials: E
authors.lastname: Karabulut
authors.forename: C
authors.initials: C
authors.lastname: Alhan
mesh_terms: D000328:Adult; D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D004630:Emergencies; D057510:Endovascular Procedures / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011859:Radiography; D012086:Reoperation; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome