Universität zu Köln

Gawenda, Michael and Brunkwall, Jan (2012). Ruptured Abdominal Aortic Aneurysm. Dtsch. Arztebl. Int., 109 (43). S. 727 - 734. COLOGNE: DEUTSCHER AERZTE-VERLAG GMBH. ISSN 1866-0452

Full text not available from this repository.

Abstract

Background: Ruptured abdominal aortic aneurysm (rAAA) remains a challenging problem: 2,410 cases were treated in Germany in 2010. Ruptured abdominal aortic aneurysm should be suspected in patients over age 50 who complain of pain in the abdomen or back and in whom examination reveals a pulsatile abdominal mass. The incidence of hospitalization for rAAA is 12 per 100 000 persons over age 65 per year (statistics for Germany, 2010), and rAAA carries an overall mortality of 80%. Methods: The current state of knowledge of rAAA was surveyed in a selective review of pertinent literature retrieved by an electronic search in the PubMed, Web of Science, and Cochrane Library databases with the keywords abdominal aortic aneurysm, ruptured, open repair, and endovascular. Publications in English or German up to and including March 2012 were considered, among them the Clinical Practice Guidelines of the European Society for Vascular Surgery (1). Results and Conclusions: Recent reports show that the treatment of rAAA is still fraught with high mortality and high perioperative morbidity. Improvement is needed. It would be advisable for the care of rAAA to be centralized in specialized vascular centers implementing defined treatment pathways. Systematic screening, too, would be beneficial. An increasing number of reports suggest that endovascular treatment with stent prostheses improves outcomes; more definitive evidence on this matter will come from prospective, randomized trials that are now in progress. Cite this as: Gawenda M, Brunkwall J: Ruptured abdominal aortic aneurysm-the state of play. Dtsch Arztebl Int 2012; 109(43): 727-32. DOI: 10.3238/arztebl.2012.0727

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Gawenda, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Brunkwall, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-480856
DOI:	10.3238/arztebl.2012.0727
Journal or Publication Title:	Dtsch. Arztebl. Int.
Volume:	109
Number:	43
Page Range:	S. 727 - 734
Date:	2012
Publisher:	DEUTSCHER AERZTE-VERLAG GMBH
Place of Publication:	COLOGNE
ISSN:	1866-0452
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language RANDOMIZED CONTROLLED-TRIAL; ENDOVASCULAR REPAIR; HYPOTENSIVE RESUSCITATION; COMPARTMENT SYNDROME; METAANALYSIS; MORTALITY; MANAGEMENT; SURGERY; EVAR; PATHOPHYSIOLOGY Multiple languages Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/48085