Low mortality and morbidity after endovascular repair of ruptured aortic aneurysm.
BACKGROUND
The objective of this study was to describe the implementation and to evaluate the short-term outcome of the first Danish experience with endovascular repair of ruptured abdominal aortic aneurysm (RAAA).


METHODS
This was a historical prospective cohort study including all patients at Odense University Hospital, Denmark, treated for RAAA and/or iliac artery aneurysm rupture from 1 October 2012 to December 2013.


RESULTS
A total of 53 patients were treated due to RAAA or iliac aneurysms at our institution in this period. Twenty-seven (51%) of these patients were treated with endovascular aneurysm repair and 26 (49%) with open repair. Two patients (7%) died within the first 30 days post-operatively in the endovascular group. One patient died perioperatively due to myocardial infarction verified by autopsy. The other patient died due to massive coagulopathy and multiorgan failure shortly after the procedure. In the group with open repair, seven patients (30.7%) died within 30 days. This yields a mortality of all patients treated for rupture at our institution of 19% compared with 32% in Denmark at large.


CONCLUSIONS
Endovascular treatment of RAAA is feasible, and the overall post-operative mortality and morbidity of RAAA can probably be reduced by implementation of RAAA.
Radiologisk Afdeling, Odense Universitetshospital, Søndre Boulevard 29, 5000 Odense C, Denmark. stevo.duvnjak@rsyd.dk.
Stevo
S
Duvnjak
Tomas
T
Balezantis
Jes S
JS
Lindholt
D000368:Aged; D000369:Aged, 80 and over; D017542:Aneurysm, Ruptured / Q000401:mortality / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000401:mortality / Q000601:surgery*; D001019:Aortic Rupture / Q000401:mortality / Q000601:surgery*; D015331:Cohort Studies; D003718:Denmark; D057510:Endovascular Procedures / Q000009:adverse effects / Q000401:mortality*; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D017543:Iliac Aneurysm / Q000401:mortality / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality; D011446:Prospective Studies; D013997:Time Factors; D016896:Treatment Outcome