Abstract
Although many reports from national datasets and systematic review suggest that emergency endovascular aneurysm repair (EVAR) for ruptured abdominal aortic aneurysms(rAAAs) may be associated with better early clinical results than conventional open repair (OR), there was no significant difference among both in recent large randomized controlled trials. We have introduced a standardized protocol since 2010 because we believe that the results of EVARs can be through such strategies as a thorough multidisciplinary approach and teamwork. From January 2010 to December 2014, we performed 69 EVAR cases, the 30 day mortality rate of which was 24.5％. It showed a significant improvement over the 30 day mortality rate we achieved (43.3％) when we performed 30 OR cases for rAAAs before introducing the EVAR protocol in our institution. This article will focus on the early results of EVAR from our experience and consider the potential efficacy of EVAR.
