- Designed to serve as the standard for the management of patients with ruptured abdominal aortic aneurysm
- Describes management protocols of proven value in reducing mortality and complications
- Based on experience gained at a leading institution recognized for its expertise in this medical emergency
This manual is designed to serve as the standard for the management of patients with ruptured abdominal aortic aneurysm (AAA) by means of modern techniques. All aspects are covered, from pathogenesis, clinical presentation, and diagnosis through to initial management, operative strategies, postoperative complications, outcomes and quality of life issues.
The book is based on the experience gained at a leading U.S. institution (Harborview Medical Center, University of Washington) that treats up to 40 patients with ruptured AAA annually and is highly respected for its expertise in this medical emergency. The team at Harborview Medical Center has recently shown that the implementation of a structured protocol for the management of ruptured AAA, with emphasis on an “endovascular-first” strategy, dramatically reduces mortality and complications. This has led to a sea change in the way in which patients are managed. There is an increasing hunger for information on these codified protocols and Ruptured Abdominal Aortic Aneurysm will be invaluable for both surgeons and critical care physicians.
Table of Contents- Historical Perspective on the Treatment of Ruptured Abdominal Aortic Aneurysms
- Background Scope of the Problem
- The Epidemiology of Ruptured Abdominal Aortic Aneurysm (rAAA)
- Pathogenesis of AAA Rupture
- Wall Stress
- Clinical Presentation of RAAA
- The Ruptured Abdominal Aorta: Diagnostics
- Predictors of Certain Death
- Prehospital Considerations for REVAR
- Guidelines for Transfer to Specialized Centers
- Hypotensive Hemostasis in Patients Presenting with Ruptured Aortic Aneurysm
- Ruptured Abdominal Aortic Aneurysms: Aortic Occlusion Balloons
- Operative Strategies
- Randomized Trials: What is the Evidence?
- Postoperative Intensive Care Unit Management After Ruptured Abdominal Aortic Aneurysm
- Postoperative Complications
- Outcomes of Ruptured Aortic Aneurysm: Early and Late
- Quality of Life After RAAA
- Ethical Issues Regarding rAAA
- US Coding and Reimbursement
- Technique of Supraceliac Balloon Control of the Aorta During Endovascular Repair of Ruptured Abdominal Aortic Aneurysms
