Ruptured Abdominal Aortic Aneurysm

1. Front Matter

   Pages i-xii

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2. Historical Perspective on the Treatment of Ruptured Abdominal Aortic Aneurysms

   • Frank J. Veith

   Pages 1-6

3. Background Scope of the Problem

   • Nam T. Tran

   Pages 7-13

4. The Epidemiology of Ruptured Abdominal Aortic Aneurysm (rAAA)

   • Peter A. Soden, Marc L. Schermerhorn

   Pages 15-48

5. Pathogenesis of AAA Rupture

   • Naoki Fujimura, Ronald L. Dalman

   Pages 49-65

6. Wall Stress

   • Derek P. Nathan, Benjamin M. Jackson

   Pages 67-75

7. Clinical Presentation of RAAA

   • Dieter Mayer

   Pages 77-91

8. The Ruptured Abdominal Aorta: Diagnostics

   • Vincent M. Mellnick, Constantine A. Raptis, Jay P. Heiken, Sanjeev Bhalla

   Pages 93-100

9. Predictors of Certain Death

   • William P. Robinson

   Pages 101-114

10. Prehospital Considerations for REVAR

    • James Pan, Kim J. Hodgson

    Pages 115-130

11. Guidelines for Transfer to Specialized Centers

    • Matthew Mell

    Pages 131-140

12. Hypotensive Hemostasis in Patients Presenting with Ruptured Aortic Aneurysm

    • Felice Pecoraro, Bernard Krüger, Johnny Steuer, Neal Cayne, Zoran Rancic, Frank J. Veith et al.

    Pages 141-149

13. Ruptured Abdominal Aortic Aneurysms: Aortic Occlusion Balloons

    • Zachary M. Arthurs

    Pages 151-160

14. Operative Strategies

    • Marlin Wayne Causey, Niten Singh, Philip S. K. Paty, Manish Mehta, Ruth A. Benson, S. Bahia et al.

    Pages 161-258

15. Randomized Trials: What is the Evidence?

    • James Budge, Benjamin Patterson, Matt M. Thompson, Frank J. Veith, Caron B. Rockman

    Pages 259-271

16. Postoperative Intensive Care Unit Management After Ruptured Abdominal Aortic Aneurysm

    • John Kuckelman, Alexander Niven, Matthew J. Martin

    Pages 273-310

17. Postoperative Complications

    • Kevin Kniery, Scott R. Steele, Martin Björck, Anders Wanhainen, Anthony M. Roche, Hernando Olivar et al.

    Pages 311-364

18. Outcomes of Ruptured Aortic Aneurysm: Early and Late

    • Jessica P. Simons, Andres Schanzer

    Pages 365-377

19. Quality of Life After RAAA

    • April Rodriguez, Elina Quiroga

    Pages 379-383

20. Ethical Issues Regarding rAAA

    • Deepika Nehra, Samuel P. Mandell

    Pages 385-394

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: The Definitive Manual will be invaluable for both surgeons and critical care physicians.

• AAA
• Aortic Occlusion Ballon
• Complication
• Critical Care
• Operative Strategy
• Wall Stress

“The authors have conducted an exhaustive review of the diagnosis and management of ruptured abdominal aortic aneurysms … . can be used by any student, resident, fellow, or attending in the field of vascular surgery. This book not only has helpful background information and educational material that would serve all readers well, it also contains detailed operative objectives and procedures that would most benefit readers with surgical experience, especially in vascular surgery.” (Ashish K. Jain, Doody's Book Reviews, July, 2017)

“The purpose is to delineate in detail the management of ruptured abdominal aortic aneurysms. … This will best serve as an educational tool for residents and fellows in vascular surgery and as a point of reference for attending practicing vascular surgeons. Even vascular surgeons who regularly operate on the aorta can gain valuable information from this book, as it provides the collective insight of some of the leading aortic surgeons in the country.” (Ashish Jain, Doody's Book Reviews, July, 2017)

• Division of Vascular Surgery, University of Washington Harborview Medical Center, Seattle, USA

  Benjamin W. Starnes

• Albany Medical Center, Albany, USA

  Manish Mehta

• Bronx, USA

  Frank J. Veith

Benjamin Ware Starnes, MD, FACS, is Professor and Chief of the Division of Vascular Surgery, University of Washington School of Medicine and Chief of Vascular and Endovascular Surgery, Harborview Medical Center, Seattle, Washington, USA. He is Program Director for both the Vascular Surgery Fellowship and the Vascular Surgery Residency at the University of Washington. Dr. Starnes became a Fellow of the American College of Surgeons in 2005 and a Distinguished Fellow of the Society for Vascular Surgery in 2011. He is a member of the editorial boards of both the Journal of Vascular Surgery and the Annals of Vascular Surgery and is Associate Editor of the Yearbook of Vascular Surgery. Dr. Starnes has been the recipient of many awards and honors. He is the author of some 60 articles in peer-reviewed journals.

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