Tratamento endovascular do aneurisma da aorta abdominal em contexto de urgência - experiência do Servi？o de Angiologia e Cirurgia Vascular do Hospital de Santa Marta

objectives: the endovascular treatment of abdominal aortic aneurysms is an alternative to surgical intervention, applicable in emergency situations. in anatomically suitable cases, appears to be a significant advantage in the short and midterm results, despite a higher rate of re-interventions methods: we performed a search in the records of all revar done since the year 2004. we reviewed a total of 47 patients, 4 of which the technique has proved unfeasible. the median follow-up is 28.5 months (1-60 months) results: there was a technical success in 91% of cases (43/47). the overall mortality at 30 days was 19% (8/43) in treated patients, and considering the intention to treat, the mortality rose to 23% (11/47). in the patients treated, 18 were symptomatic, 25 had a hemodynamically stable rupture and 4 were hemodynamically unstable. the follow-up of these patients has detected a case of proximal type i endoleak, witch was treated surgically by placing a proximal cuff, and two cases of type ii endoleak that were not associated with aneurysm growth, and we chose not to treat. conclusions: the authors conclude that the institutional experience with the endovascular treatment of abdominal aortic aneurysms in emergency is favourable compared to the results published in large series. the lower mortality and morbidity associated with the procedure allows treating a broader spectrum of patients. follow-up is essential for a timely detection and correction of complications.