Abdominal compartment syndrome following open and endovascular repair of ruptured abdominal aortic aneurysm
Küçük Resim Yok
Tarih
2023
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objectives: This study aimed to reveal the incidence, treatment, and outcomes of abdominal compartment syndrome (ACS) following open or endovascular repair of ruptured abdominal aortic aneurysm (rAAA). Patients and methods: The retrospective study included 36 patients (27 males, 9 females; mean age: 68.9±7.2 years; range, 61 to 81 years) who presented with rAAA between May 2016 and July 2023. In all patients, data regarding demographic characteristics, type of repair (open repair or endovascular aneurysm repair [EVAR]), ACS onset, morbidity, and mortality were recorded. The diagnosis of ACS was made by clinical signs and abdominal pressure measurements. Results: The overall mortality was 41.7% (n=15). Abdominal compartment syndrome developed in five (13.9%) patients, including two (25%) of eight patients who underwent EVAR and three (10.7%) of 28 patients who underwent open repair. In the open repair group, three (60%) of five patients who developed ACS and 12 (38.7%) of 31 patients without ACS died while one (50%) of two patients who developed ACS died in the EVAR group. No death was noted among patients without ACS in the EVAR group. Conclusion: This study shows that ACS can develop following both EVAR and open rAAA repair. Decompression laparotomy and open abdominal treatment should not be delayed when indicated. Although intra-abdominal pressure remains high, appropriate therapy may significantly affect outcomes.
Açıklama
Anahtar Kelimeler
EVAR, Abdominal compartment syndrome, intra-abdominal hypertension, ruptured abdominal aortic aneurysms
