Long-term outcomes following exclusive use of endovascular aortic repair for ruptured infrarenal abdominal aortic aneurysms  

作　　者：Ruihan Wang Tong Yuan Yuanqing Kan Jianing Yue Bin Chen Zhihui Dong Daqiao Guo Yi Si Weiguo Fu 

机构地区：[1]Department of Vascular Surgery,Zhongshan Hospital,Fudan University,Shanghai 200032,China [2]Vascular Surgery Institute of Fudan University,Shanghai 200032,China [3]National Clinical Research Center for Interventional Medicine,Shanghai 200032,China

出　　处：《Chinese Medical Journal》2023年第15期1876-1878,共3页中华医学杂志（英文版）

基　　金：National Natural Science Foundation of China(No.8207021027);Shanghai Clinical Research Center for Interventional Medicine(No.19MC1910300);Shanghai Science and Technology Commission(Nos.19441906600 and 21S31904800)

摘　　要：To the Editor:Ruptured abdominal aortic aneurysm(rAAA)is a fatal disease.Emergency surgery is the only way to provide an opportunity for survival.In 1994,endovascular aortic repair(EVAR)was reported as an emergency treatment for rAAA.Compared with traditional open surgery(OS),patients could benefit from its lower perioperative mortality and minimal invasiveness.Although recent guidelines have recommended an EVARfirst approach if suitable as judged by the clinician,the standard of whether to give a priority to EVAR varies among clinicians in practical applications,because hostile aortic morphology and hemodynamic conditions were thought to weaken the benefit of EVAR.Hence,controversies still exist regarding whether EVAR as a priority is applicable to most rAAAs.In addition,a search of the literature found few population-based studies with long-term outcomes.Given this,a population-based study was conducted by Zhongshan Hospital,Fudan University.

关 键 词：AORTIC ANEURYSM ABDOMINAL 

分 类 号：R654.3[医药卫生—外科学]