Abstract
Ruptured aortic aneurysms uniformly require emergent attention. Historically, urgent surgical repair or medical management was the only treatment options. The development of covered stent grafts has introduced a third approach in the care of these critical patients. The clinical status of the patient and local physician expertise drive the treatment modalities in the majority of cases. The goal of therapy in these patients is to stabilize the patient as quickly as possible, establish maximum survival with minimum morbidity, and provide a long lasting result. The endovascular approach has become an acceptable treatment option in an increasing number of patients presenting with ruptured aneurysmal disease of both the descending thoracic and abdominal aorta. Major factors influencing treatment include patient clinical status, characteristics of the aorta, physician preference, institutional experience, and availability of appropriate equipment. Planning, experience, and the ability to improvise effective solutions are keys to the success of the procedure when endovascular techniques are utilized. Three separate cases, requiring intraprocedural improvisation, are presented followed by a review of the literature.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 249-258 |
| Number of pages | 10 |
| Journal | Seminars in Interventional Radiology |
| Volume | 32 |
| Issue number | 3 |
| DOIs | |
| State | Published - Sep 20 2015 |
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Keywords
- emergent stent graft
- EVAR
- interventional radiology
- ruptured aneurysm
- TEVAR
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
- Cardiology and Cardiovascular Medicine
Cite this
Emergent Endovascular Stent Grafts for Ruptured Aortic Aneurysms. / Montgomery, Jennifer P.; Kolbeck, Kenneth; Kaufman, John.
In: Seminars in Interventional Radiology, Vol. 32, No. 3, 20.09.2015, p. 249-258.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Emergent Endovascular Stent Grafts for Ruptured Aortic Aneurysms
AU - Montgomery, Jennifer P.
AU - Kolbeck, Kenneth
AU - Kaufman, John
PY - 2015/9/20
Y1 - 2015/9/20
N2 - Ruptured aortic aneurysms uniformly require emergent attention. Historically, urgent surgical repair or medical management was the only treatment options. The development of covered stent grafts has introduced a third approach in the care of these critical patients. The clinical status of the patient and local physician expertise drive the treatment modalities in the majority of cases. The goal of therapy in these patients is to stabilize the patient as quickly as possible, establish maximum survival with minimum morbidity, and provide a long lasting result. The endovascular approach has become an acceptable treatment option in an increasing number of patients presenting with ruptured aneurysmal disease of both the descending thoracic and abdominal aorta. Major factors influencing treatment include patient clinical status, characteristics of the aorta, physician preference, institutional experience, and availability of appropriate equipment. Planning, experience, and the ability to improvise effective solutions are keys to the success of the procedure when endovascular techniques are utilized. Three separate cases, requiring intraprocedural improvisation, are presented followed by a review of the literature.
AB - Ruptured aortic aneurysms uniformly require emergent attention. Historically, urgent surgical repair or medical management was the only treatment options. The development of covered stent grafts has introduced a third approach in the care of these critical patients. The clinical status of the patient and local physician expertise drive the treatment modalities in the majority of cases. The goal of therapy in these patients is to stabilize the patient as quickly as possible, establish maximum survival with minimum morbidity, and provide a long lasting result. The endovascular approach has become an acceptable treatment option in an increasing number of patients presenting with ruptured aneurysmal disease of both the descending thoracic and abdominal aorta. Major factors influencing treatment include patient clinical status, characteristics of the aorta, physician preference, institutional experience, and availability of appropriate equipment. Planning, experience, and the ability to improvise effective solutions are keys to the success of the procedure when endovascular techniques are utilized. Three separate cases, requiring intraprocedural improvisation, are presented followed by a review of the literature.
KW - emergent stent graft
KW - EVAR
KW - interventional radiology
KW - ruptured aneurysm
KW - TEVAR
UR - http://www.scopus.com/inward/record.url?scp=84939454845&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84939454845&partnerID=8YFLogxK
U2 - 10.1055/s-0035-1556879
DO - 10.1055/s-0035-1556879
M3 - Article
VL - 32
SP - 249
EP - 258
JO - Seminars in Interventional Radiology
JF - Seminars in Interventional Radiology
SN - 0739-9529
IS - 3
ER -