Abstract

BALLESTEROS-POMAR, Marta et al. Update and decision making algorithms on the management of ruptured abdominal aortic aneurysms. Angiología [online]. 2020, vol.72, n.5, pp.240-252.  Epub Nov 30, 2020. ISSN 1695-2987.  https://dx.doi.org/10.20960/angiologia.00138.

A ruptured abdominal aortic aneurysm (rAAA) is a highly lethal event remaining associated with a high overall mortality, in spite of the reduction in the mortality from rAAA over the last two decades linked with the adoption of an endovascular aneurysm repair (EVAR) as the forefront strategy, as well as the advances in perioperative critical care practices.

Management of a rAAA can be divided into four stages: diagnosis, perioperative management, surgical repair and postoperative period. Within the framework of American and European clinical practice guidelines on the management of abdominal aortic aneurysms and NICE guideline, all of them recently published, updated critical issues for each stage are shown. From the key role of CT angiogram for the diagnosis to the postoperative complications, such as abdominal compartment syndrome

The creation of evidence-based protocols and algorithms for rapid diagnosis and treatment aids to make decisions and at the same time it will reduce the time since diagnosis to control of hemorrhage, which is essential for survival.

Keywords : Ruptured abdominal aortic aneurysm; EVAR; Guidelines; Decision making algorithm.

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