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Updated: Feb 3, 2026
11:13
Porcine Model of Infrarenal Abdominal Aortic Aneurysm
Published on: November 21, 2019
9.8K
[Ruptured Abdominal Aortic Aneurysm].
Vladimir Makaloski1, Jürg Schmidli1, Thomas Rudolf Wyss1
1Universitätsklinik für Herz- und Gefässchirurgie, Inselspital Universitätsspital Bern, Schweiz.
Zentralblatt Fur Chirurgie
|October 26, 2018
Summary
Aneurysm rupture is dangerous, but open and endovascular repairs have similar survival rates. Personalized patient care and specific techniques significantly impact outcomes, while certain conditions increase mortality risk.
Area of Science:
- Vascular Surgery
- Medical Interventions
- Patient Outcomes
Background:
- Aneurysm rupture poses a significant lethal threat.
- Both open surgical repair and endovascular repair are established treatment options.
Purpose of the Study:
- To compare the mortality rates of open versus endovascular aneurysm repair.
- To identify factors influencing patient outcomes after aneurysm repair.
Main Methods:
- Analysis of mortality rates in high-volume centers for both open and endovascular repair.
- Evaluation of patient-specific factors and treatment strategies impacting mortality.
Main Results:
- Open and endovascular treatments demonstrate comparable mortality rates (15-20%) in high-volume settings.
- Individualized patient management is crucial, superseding the choice of repair method.
- Permissive hypotension, fluid restriction, and suitable aneurysm morphology positively affect mortality.
- Coronary artery disease, renal impairment, and shock are associated with increased mortality.
- Endovascular repair is linked to high reintervention rates, necessitating lifelong follow-up.
Conclusions:
- Patient management strategies, including permissive hypotension and fluid restriction, are key to improving survival after aneurysm repair.
- The choice between open and endovascular repair is secondary to individualized care and patient-specific factors.
- Lifelong surveillance is essential following endovascular repair due to high reintervention rates.
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