PURPOSE: To report our experience in establishing a treatment protocol for @entity439 repair (EVAR) of @entity1755 ( @entity1755 ), including an investigation of the reasons for @entity1 exclusion and a report of our short-term results. METHODS: Between 1997 and July 2002, 21 @entity1 with @entity1755 underwent endovascular repair according to our protocol and were followed prospectively. A retrospective analysis was also conducted of 23 @entity1755 @entity1 treated with open repair from January 2001 through June 2002. Procedural and clinical data from this sample were compared to 14 contemporaneous emergent EVAR cases and analyzed to determine why the open repair @entity1 were not treated with an endovascular approach. RESULTS: Among the 21 @entity1 treated with emergent EVAR since the beginning of this protocol, 6 (29%) procedures were performed under local anesthesia and 6 were performed percutaneously. Thirty-day mortality was 19%. In the comparison of 14 emergent EVAR cases to 23 open @entity1755 repairs, the mean duration of symptoms prior to intervention was 12 hours for the EVAR @entity1 and <1 hour for @entity26277 @entity1 . No significant difference was found in operating time, but the EVAR group had significantly less @entity190 (p=0.0001) and transfusion needs (p=0.02); duration of intensive care unit stay was significantly shorter in the EVAR group (p=0.02). Thirty-day mortality was 29% (4/14) for EVAR and 35% for @entity26277 (8/23) (p>0.05). Reasons for not performing EVAR were unavailability of adequate equipment (n=11) or trained staff (n=7), hemodynamically unstable @entity1 (n=2), @entity5880 (n=2), and unfavorable anatomy in a 60-year old @entity1 with a <5-mm-long, sharply angled infrarenal neck. CONCLUSIONS: Endovascular repair of ruptured @entity449 is feasible, and short-term results are promising. Good logistics, adequate training of physicians and staff in an elective setting, and versatile endografts are prerequisites for this type of treatment program.

Endovascular repair of XXXX : logistics and short-term results.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity5880 :: ('MESH:D000785', 'Disease') :: ['mycotic aneurysm'] @entity26277 :: ('MESH:C563848', 'Disease') :: ['OR'] @entity449 :: ('MESH:D001014', 'Disease') :: ['aortic aneurysms'] @entity1755 :: ('MESH:D001019', 'Disease') :: ['ruptured abdominal aortic aneurysms', 'rAAA'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity439 :: ('MESH:D000783', 'Disease') :: ['endovascular aneurysm']
@entity1755 :: (MESH:D001019,Disease) :: ['ruptured abdominal aortic aneurysms']
