Ruptured aneurysm of abdominal aorta: is surgery the best treatment?

Objective: The aim of this article is to compare the procedures used in the treatment of ruptured abdominal aortic aneurism, in order to determine the best approach to this urgency. Methods: The rupture of abdominal aortic aneurysm is a serious complication, with high mortality rate. Early surgery i...

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Principais autores: Freire, Artur Dantas, Carvalho, Aline Vasconcelos de, Xavier, Clara Rafael Silva, Medeiros, Lucas de Farias Farros, Rêgo, Amália Cinthia Menezes, Araújo-Filho, Irami
Formato: Online
Idioma:por
Publicado em: FEDERAL UNIVERSITY OF RIO GRANDE DO NORTE, BRAZIL
Endereço do item:https://periodicos.ufrn.br/jscr/article/view/8630
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spelling oai:periodicos.ufrn.br:article-86302019-06-05T23:31:04Z Ruptured aneurysm of abdominal aorta: is surgery the best treatment? Freire, Artur Dantas Carvalho, Aline Vasconcelos de Xavier, Clara Rafael Silva Medeiros, Lucas de Farias Farros Rêgo, Amália Cinthia Menezes Araújo-Filho, Irami Abdominal aortic aneurysm Rupture Surgery Endovascular repair Angioplasty Percutaneous transluminal angioplasty Objective: The aim of this article is to compare the procedures used in the treatment of ruptured abdominal aortic aneurism, in order to determine the best approach to this urgency. Methods: The rupture of abdominal aortic aneurysm is a serious complication, with high mortality rate. Early surgery is related to great survival of these patients. However, there are two methods of treatment (open and endovascular surgery). The present study is a review of the literature in PubMed, UpToDate, Scopus and Scielo databases, using the key words "aneurysm, aortic aneurysm, abdominal aorta", "rupture", "aortic surgery”, “endovascular procedure", "angioplasty", "endoluminal repair", “percutaneous transluminal angioplasty”. We included English and Portuguese language articles, published between 2006 and 2015, addressing the treatment of the ruptured aneurysm of abdominal aorta. Conclusion: Significant differences in the mortality rates of open surgery compared to the endovascular treatment of ruptured aneurysm definitely have not been demonstrated. There is some evidence that perioperative (30 days) results after endovascular aneurysm correction of ruptured aneurism can be better than open repair. FEDERAL UNIVERSITY OF RIO GRANDE DO NORTE, BRAZIL 2016-02-16 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://periodicos.ufrn.br/jscr/article/view/8630 JOURNAL OF SURGICAL AND CLINICAL RESEARCH; Vol. 6 No. 2 (2015); 73-82 JOURNAL OF SURGICAL AND CLINICAL RESEARCH; v. 6 n. 2 (2015); 73-82 2179-7889 por https://periodicos.ufrn.br/jscr/article/view/8630/6214 Copyright (c) 2016 JOURNAL OF SURGICAL AND CLINICAL RESEARCH
institution Periódicos UFRN
collection Portal de Pediódicos Eletrônicos da UFRN
language por
format Online
author Freire, Artur Dantas
Carvalho, Aline Vasconcelos de
Xavier, Clara Rafael Silva
Medeiros, Lucas de Farias Farros
Rêgo, Amália Cinthia Menezes
Araújo-Filho, Irami
spellingShingle Freire, Artur Dantas
Carvalho, Aline Vasconcelos de
Xavier, Clara Rafael Silva
Medeiros, Lucas de Farias Farros
Rêgo, Amália Cinthia Menezes
Araújo-Filho, Irami
Ruptured aneurysm of abdominal aorta: is surgery the best treatment?
author_facet Freire, Artur Dantas
Carvalho, Aline Vasconcelos de
Xavier, Clara Rafael Silva
Medeiros, Lucas de Farias Farros
Rêgo, Amália Cinthia Menezes
Araújo-Filho, Irami
author_sort Freire, Artur Dantas
title Ruptured aneurysm of abdominal aorta: is surgery the best treatment?
title_short Ruptured aneurysm of abdominal aorta: is surgery the best treatment?
title_full Ruptured aneurysm of abdominal aorta: is surgery the best treatment?
title_fullStr Ruptured aneurysm of abdominal aorta: is surgery the best treatment?
title_full_unstemmed Ruptured aneurysm of abdominal aorta: is surgery the best treatment?
title_sort ruptured aneurysm of abdominal aorta: is surgery the best treatment?
description Objective: The aim of this article is to compare the procedures used in the treatment of ruptured abdominal aortic aneurism, in order to determine the best approach to this urgency. Methods: The rupture of abdominal aortic aneurysm is a serious complication, with high mortality rate. Early surgery is related to great survival of these patients. However, there are two methods of treatment (open and endovascular surgery). The present study is a review of the literature in PubMed, UpToDate, Scopus and Scielo databases, using the key words "aneurysm, aortic aneurysm, abdominal aorta", "rupture", "aortic surgery”, “endovascular procedure", "angioplasty", "endoluminal repair", “percutaneous transluminal angioplasty”. We included English and Portuguese language articles, published between 2006 and 2015, addressing the treatment of the ruptured aneurysm of abdominal aorta. Conclusion: Significant differences in the mortality rates of open surgery compared to the endovascular treatment of ruptured aneurysm definitely have not been demonstrated. There is some evidence that perioperative (30 days) results after endovascular aneurysm correction of ruptured aneurism can be better than open repair.
publisher FEDERAL UNIVERSITY OF RIO GRANDE DO NORTE, BRAZIL
publishDate 2016
url https://periodicos.ufrn.br/jscr/article/view/8630
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