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Semin intervent Radiol 2020; 37(04): 382-388
DOI: 10.1055/s-0040-1715872
Review Article

Endovascular Treatment of Ruptured Abdominal Aortic Aneurysms

Alexander S. Fairman
1   Division of Vascular Surgery and Endovascular Therapy, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
,
Grace J. Wang
1   Division of Vascular Surgery and Endovascular Therapy, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
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Abstract

Since its inception in the 1990s, endovascular aortic repair has quickly replaced traditional open aortic repair (OAR) as the most common method for elective treatment of abdominal aortic aneurysms (AAA). After numerous iterations and failures of different endografts, the technology has undergone dramatic improvements with evidence pointing to this technology serving as a safe and durable modality, albeit with the requirement of routine surveillance. Not surprisingly, the ability to treat patients with AAAs with minimally invasive technology that could theoretically mitigate some of the risks associated with OAR, such as aortic cross clamping and significant blood loss, was also adopted in patients with ruptured AAAs and is now the preferred treatment method if anatomically feasible.

Keywords

ruptured abdominal aortic aneurysms - endovascular aortic repair - endovascular repair of rAAA - interventional radiology


Publication History

Article published online:
01 October 2020

© 2020. Thieme. All rights reserved.

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