Journal of Vascular Surgery
Volume 45, Issue 3 , Pages 443-450 , March 2007

Improved survival after introduction of an emergency endovascular therapy protocol for ruptured abdominal aortic aneurysms

  • Randy Moore, MD, FRCSC

      Affiliations

    • Division of Vascular Surgery, Department of Surgery, University of Calgary, Calgary, Alberta, Canada
    • Corresponding Author InformationReprint requests: RD Moore, MD, FRCSC, Division of Vascular Surgery, Peter Lougheed Center, 3500 26th Ave NE, Calgary, Alberta T1Y 6J4, Canada.
    • ,
  • Mark Nutley, MD, FRCSC

      Affiliations

    • Division of Vascular Surgery, Department of Surgery, University of Calgary, Calgary, Alberta, Canada
    • ,
  • Claudio S. Cina, MD, FRCSC

      Affiliations

    • Division of Vascular Surgery, McMaster University, Hamilton, Ontario, Canada.
    • ,
  • Mona Motamedi, BA

      Affiliations

    • Division of Vascular Surgery, Department of Surgery, University of Calgary, Calgary, Alberta, Canada
    • ,
  • Peter Faris, PhD

      Affiliations

    • Department of Clinical Epidemiology and Biostatistics, University of Calgary, Calgary, Alberta, Canada
    • ,
  • Wesam Abuznadah, MD

      Affiliations

    • Division of Vascular Surgery, Department of Surgery, University of Calgary, Calgary, Alberta, Canada

Received 1 October 2006 ,Accepted 18 November 2006.

  • Image Result

    Emergency ruptured abdominal aortic aneurysm (rAAA) endovascular repair (EVAR) algorithm. *Permissive hypotension is defined as state of consciousness with a systolic blood pressure >80 mm Hg. Endovas

    Emergency ruptured abdominal aortic aneurysm (rAAA) endovascular repair (EVAR) algorithm. *Permissive hypotension is defined as state of consciousness with a systolic blood pressure >80 mm Hg. Endovascular on call is defined as the availability of a vascular surgeon with endovascular privileges. CTA, Computed tomography angiography.

  • Image Result
    Cumulative sum (CUSUM) plot for all repairs. Vertical dashed line indicates the introduction of the ruptured abdominal aortic aneurysm endovascular aneurysm repair (EVAR) protocol. After the introduct

    Cumulative sum (CUSUM) plot for all repairs. Vertical dashed line indicates the introduction of the ruptured abdominal aortic aneurysm endovascular aneurysm repair (EVAR) protocol. After the introduction of the protocol, the lower CUSUM line crosses the “superior” line within 35 surgeries (P = .059).

  • Image Result
    Cumulative sum (CUSUM) plots for (A) endovascular aneurysm repair and (B) open repairs after the introduction of the EVAR protocol. Note the stable performance of open repairs, with a trend towards im

    Cumulative sum (CUSUM) plots for (A) endovascular aneurysm repair and (B) open repairs after the introduction of the EVAR protocol. Note the stable performance of open repairs, with a trend towards improvement in the performance of endovascular repairs.

 Competition of interest: none.

PII: S0741-5214(06)02157-4

doi: 10.1016/j.jvs.2006.11.047

Journal of Vascular Surgery
Volume 45, Issue 3 , Pages 443-450 , March 2007

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