Systematic review and meta-analysis of population-based mortality from ruptured abdominal aortic aneurysm

Abstract

The pooled estimate of total mortality from rAAA is very high, although it has declined over the years. Most patients die outside hospital, and there is no surgical intervention in a considerable number of those who survive to reach hospital.

Open Surgical Repair for a Ruptured Abdominal Aortic Aneurysm with a Horseshoe Kidney

“…3) However, the case of a ruptured AAA with a horseshoe kidney requires special consideration for the anatomical abnormalities. Horseshoe kidney is a renal fusion anomaly.…”

Abdominal Aortic Aneurysm : Aspects on how to affect mortality from rupture

“…A ruptured AAA (rAAA) is one of the most catastrophic conditions seen at emergency departments with an overall total mortality of at least 80% (Drott et al 1992, Bengtsson, Bergqvist 1993, Choksy, Wilmink & Quick 1999, Reimerink et al 2013b. It is estimated that 1% of the deaths in men older than 65 years of age are caused by rAAA (SBU, The Swedish Council on Health Technology Assessment).…”

“…When rupture occurs, it is estimated that one third, 32% (CI 27---37), of the patients die before reaching hospital and of those that reach hospital alive, only in 60% (CI 53---67) intervention is attempted (Reimerink et al 2013b). 53% (CI 48---59) of those who were subject to intervention died perioperatively.…”

“…For AAA ≥ 55 recent data suggested an annual risk of approximately 25% (Noronen et al 2013). According to a recent review (Reimerink et al 2013b), two studies reported the proportion of patients reaching surgery if rupture occurs (Acosta et al 2006, Hafez et al 2009). Synthesising data from these two studies yielded an estimated probability of reaching surgery of 39%.…”

Equivocal usefulness of FDG for the noninvasive imaging of abdominal aortic aneurysms

“…Among all patients with ruptured AAA, about one-third die without reaching hospital, and about another quarter reach hospital but die prior to surgical intervention. Among the remaining patients (about 40 %) surviving AAA rupture long enough to benefit from surgical intervention, the perioperative mortality has historically reached about 50 % [1], a value that has however recently decreased owing to the introduction of endovascular repair [2]. On the other hand, elective AAA repair has a much lower in-hospital mortality rate, with recently reported values of 1.3 % and 4.7 % for endovascular and open surgical repair, respectively [3], thereby strongly emphasizing the need for screening and identification of those patients with prone-to-rupture AAA.…”