Results of a Proximal Aortic Control Method in 57 Patients with Ruptured Abdominal Aortic Aneurysm in Shohadaye Tajrish

Introduction & The rupture of an abdominal aortic aneurysm (AAA) is often life threatening and inappropriate treatment can be catastrophic. The outcome and survival after the operative repair of ruptured abdominal aortic aneurysm depends on a quick, reliable proximal aortic control. This study has been designed to evaluate the result of using a NO20- 24 Foley catheter as proximal aortic control above renal arteries in patients with ruptured abdominal aortic aneurysm. This study is a descriptive and Case-Series study for reporting of the results of endoluminal proximal control in aorta. In this surgical method, NO20- 24 Foley catheter is used throughout aneurismal sack on the proximal of the renal arteries. In reporting on quantitative variables, use is made of the average, standard deviation and amplitude, and in reporting on qualitative variables, abundance and ratio is used. Of fifty-seven patients with ruptured abdominal aortic aneurysm 35 patients underwent repair of a ruptured AAA and 22 patients (38.5%) died in emergency room of shohadaye Tajrish Hospital (between 1996 to 2007), where they were operated upon. Mortality rate of patients whom underwent repair was 26 out of 35 and 68.7% of them was in the first 24 hours. The type and rate of complications after surgery were dialysis in 8 (22.9%), gastrointestinal ischemia in 3 (8.6%), myocardial infarction in 2 (5.7%), stroke in 1 (2.9%) and deep vein thrombosis in 1 (2.9%) patients. Using a Foley catheter as proximal control of aorta leads to less mortality and morbidity. Improved outcome can be expected with this new technique.