Show Summary Details
Page of

Abdominal aortic aneurysms: results of emergency surgery 

Abdominal aortic aneurysms: results of emergency surgery
Abdominal aortic aneurysms: results of emergency surgery

Alan Karthikesalingam

and Peter Holt

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 05 July 2020

Ruptured abdominal aortic aneurysms (AAAs) represent the endpoint of aneurysmal disease. Patients often present in extremis with hypotension and collapse. The mortality of ruptured aneurysms remains around 80% with only half of patients reaching hospital alive. Recent improvements in outcome have been primarily due to improvements in intensive care provision. Randomised trials suggest that an “endovascular repair-first” strategy is equivalent to open repair in terms of 1-year mortality, but EVAR for rAAA is associated with better quality of life and more rapid discharge from hospital. Subgroup analysis of the IMPROVE trial showed that aneurysm morphology is an important determinant of outcome from both EVAR and open repair, with short-necked rAAA faring poorly in both groups. The effect of patient transfer and the role of permissive hypotension on subsequent survival remain the focus of clinical research.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.