ReviewJournal of clinical medicine2023
The Management of Ruptured Abdominal Aortic Aneurysms: An Ongoing Challenge.
Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 23 citations in OpenAlex.
- Review
- Fibromuscular dysplasia in a young female presenting with a ruptured abdominal aortic aneurysm: a rare case report and review of the literature.International journal of surgery case reports · 2026Article
- Review
- Preoperative nutritional status and its association with adverse events following open abdominal aortic aneurysm repair.Frontiers in nutrition · 2026Article
- Right sided testicular pain as the sole presenting symptom of an abdominal aortic aneurysm: A case report.International journal of surgery case reports · 2025Article
- Genetic Pathogenesis of Abdominal Aortic Aneurysm and the Role of PCSK9 (Proprotein Convertase Subtilisin/Kexin Type 9).Vascular specialist international · 2025Review
- Robot-assisted anterior resection of rectal cancer in a patient with abdominal aortic aneurysm using a monitoring laparoscope: a case report.Annals of medicine and surgery (2012) · 2025Article
- Thromboelastography in ruptured abdominal aortic aneurysm management: lessons from vascular, cardiac, and trauma surgery.Frontiers in cardiovascular medicine · 2025Review
- Article
- Initial signs in patients with ruptured abdominal aortic aneurysms: time for an expanded triad?Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Article
- Modern management of ruptured abdominal aortic aneurysm.Frontiers in cardiovascular medicine · 2023Review
- Ruptured abdominal aortic aneurysm managed using resuscitative endovascular balloon occlusion of the aorta with a two-stage approach.Acute medicine & surgeryArticle
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgrounddespite improvements in the diagnosis and treatment of elective AAAs, ruptured abdominal aortic aneurysms (RAAAs) continue to cause a substantial number of deaths. The choice between an open or endovascular approach remains a challenge, as does postoperative complications in survivors. The aim of this manuscript is to offer an overview of the contemporary management of RAAA patients, with a focus on preoperative and intraoperative factors that could help surgeons provide more appropriate treatment.
methodswe performed a search on MEDLINE, Embase, and Scopus from 1 January 1985 to 1 May 2023 and reviewed SVS and ESVS guidelines. A total of 278 articles were screened, but only those with data available on ruptured aneurysms' incidence and prevalence, preoperative scores, and mortality rates after emergency endovascular or open repair for ruptured AAA were included in the narrative synthesis. Articles were not restricted due to the designs of the studies.
resultsthe centralization of RAAAs has improved outcomes after both surgical and endovascular repair. Preoperative mortality risk scores and knowledge of intraoperative factors influencing mortality could help surgeons with decision-making, although there is still no consensus about the best treatment. Complications continue to be an issue in patients surviving intervention.
conclusionsRAAA still represents a life-threatening condition, with high mortality rates. Effective screening and centralization matched with adequate preoperative risk-benefit assessment may improve outcomes.
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