Annals of vascular surgery
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Multicenter Study Comparative Study
Open versus endovascular repair of ruptured abdominal aortic aneurysms.
Management of ruptured abdominal aortic aneurysms (rAAA) remains one of the most challenging situations in vascular surgery. The aim of our study was to examine national trends and compare contemporary outcomes of open and endovascular repair (EVAR) for rAAA across a wide spectrum of hospitals in the United States. ⋯ EVAR is a safe and, in appropriately selected patients, superior approach to open surgery for the management of patients with rAAA. On multivariate analysis, patients who underwent open repair were at significantly increased risk of morbidity and mortality. In clinical settings where adequate resources, personnel, and surgical expertise are present, an endovascular approach should be strongly considered for all patients with acceptable anatomy.