Endovascular balloon occlusion is associated with reduced intraoperative mortality of unstable patients with ruptured abdominal aortic aneurysm but fails to improve other outcomes

Raux, Maxime
Marzelle, Jean
Kobeiter, Hicham
Dhonneur, Gilles
Allaire, Eric
Cochennec, Frédéric
Becquemin, Jean-Pierre
Desgranges, Pascal

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Publication date

February 2015

DOI

10.1016/j.jvs.2014.07.098

Publisher

Society for Vascular Surgery. Published by Elsevier Inc.

ISSN

0741-5214

Citation count (estimate)

Abstract

BackgroundProximal aortic control by endovascular balloon occlusion (EBO) is an alternative to conventional aortic cross-clamping (CAC) in hemodynamically unstable patients presenting with a ruptured abdominal aortic aneurysm (rAAA). The aim of this study was to evaluate the potential clinical benefit of EBO over CAC.MethodsData from 72 patients with rAAA treated at our institution from 2001 to 2013 were retrospectively analyzed. All patients were hemodynamically unstable (mean arterial blood pressure at admission <65 mm Hg or associated unconsciousness, cardiac arrest, or emergency endotracheal intubation). Clinical end points of hemodynamic restoration, mortality rate, and major postoperative complications were assessed for CAC (group 1) ...

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Endovascular balloon occlusion is associated with reduced intraoperative mortality of unstable patients with ruptured abdominal aortic aneurysm but fails to improve other outcomes

Abstract

Extracted data

Endovascular balloon occlusion is associated with reduced intraoperative mortality of unstable patients with ruptured abdominal aortic aneurysm but fails to improve other outcomes

Abstract

Extracted data

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