Current practices and challenges in ruptured abdominal aortic aneurysm repair

A ruptured abdominal aortic aneurysm is one of the most fatal medical conditions. Although the introduction of endovascular aneurysm repair has improved outcomes in non-ruptured abdominal aortic aneurysm, the merits appear less distinct in emergency repair. Results of randomized controlled trials and cohort studies are conflicting. An increasing number of patients are being treated through endovascular repair. Centers that adopted an EVAR-first approach show improved results. The use of endovascular technology brings new challenges that need to be addressed. Besides endovascular treatment, there is a need for refining preoperative care, patient selection and postoperative management to improve overall survival.