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2014 VEITH Symposium: Open Vs Endovascular RAAA Repair

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The Particulars: Comparisons of open and endovascular repair of ruptured abdominal aortic aneurysms (RAAAs) are lacking in patients with abdominal compartment syndrome.

Data Breakdown: Researchers compared several important characteristics among patients with and without abdominal compartment syndrome following RAAA repair. These included mode of transport, time taken for transfer, modality of treatment, transfusion requirements, discharge disposition, length of stay, survival, Glasgow aneurysm score, and Hardmans’s index score. No differences were observed between groups with regard to age, gender, mode of transportation, distance travelled, or length of stay. However, patients with abdominal compartment syndrome underwent more open repairs, received more transfusions, and were less likely to be discharged home. They also had a higher mortality rate, higher Glasgow aneurysm scores, and higher Hardman index scores.

Take Home Pearls: Abdominal compartment syndrome appears to be a significant predictor of mortality following RAAA repair. Patients who undergo open repair or have poor physiological indices appear to be at risk for developing abdominal compartment syndrome.

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