Emergent Endovascular Repair of Ruptured Abdominal and Thoracic Aortic Aneurysms in a Single Center: Midterm Outcomes

Objective: Endovascular therapies may offer distinct advantagesin acute aortic syndromes. In this paper, we present ourexperience with emergent endovascular repair of both abdominaland thoracic aortic ruptures and report early and midtermoutcomes.Methods: Data from all patients (n=96) who were treatedby endovascular procedures between 2004 to 2012 wereprospectively collected and early-midterm outcomes of theemergency (e) interventions for both abdominal (EVAR)and thoracic (TEVAR) aortic ruptures (n=20) were retrospectivelyanalysed. Results: The mean age was 65 +- 11 years (range: 27-77 years)and 18 patients (90%) were male. Mean follow-up duration was28 +- 21.2 months (range=1-57). Thirteen patients weretreated by eEVAR (65%) and 7 by eTEVAR (35%). Onepatient who had a rupture of the aneurysm at arcus aorta levelwas treated by hybrid procedure (eTEVAR+ debranching).The hospital mortality rate was 20% (n=4) for all cases, 23.0%(n=3) for eEVAR and 14.2% (n=1) for eTEVAR. In thefollow-up period, 3 patients (15.0%) had reinterventions.Discussion: Reinterventions and the necessity of closefollow-up are the disadvantages of endovascular procedures.Even if that is the case, we believe that eEVAR eTEVAR inthe acute setting of ruptured aorta in patients with suitableanatomy is a lifesaving option.

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