Abstract
Introduction:
Reported mortality rates for endovascular repair (EVR) of ruptured abdominal aortic aneurysm (rAAA) vary from 0% to 50%. Selection bias, inaccurate reporting, and lack of uniform reporting standards are responsible for this significant discrepancy.
Material and methods:
Existing literature about the classification/reporting systems of rAAA is reviewed. A standard way of reporting rAAA based on the physiological, radiological, and operative findings is proposed.
Conclusion:
The proposed system attempts to provide a universal language of communicating the severity of rupture, address the reporting bias, and allow comparing the outcomes of rAAA.
MeSH terms
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Aortic Aneurysm, Abdominal / classification*
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Aortic Aneurysm, Abdominal / diagnostic imaging
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Aortic Aneurysm, Abdominal / mortality
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Aortic Aneurysm, Abdominal / surgery
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Aortic Rupture / classification*
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Aortic Rupture / diagnostic imaging
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Aortic Rupture / mortality
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Aortic Rupture / surgery
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Aortography / standards
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Endovascular Procedures / adverse effects
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Endovascular Procedures / mortality
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Endovascular Procedures / standards
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Guidelines as Topic
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Health Services Research / standards*
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Humans
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Outcome and Process Assessment, Health Care / standards
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Quality Assurance, Health Care / standards*
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Quality Indicators, Health Care / standards*
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Severity of Illness Index
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Terminology as Topic*
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Tomography, X-Ray Computed / standards
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Treatment Outcome
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Vascular Surgical Procedures / adverse effects
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Vascular Surgical Procedures / mortality
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Vascular Surgical Procedures / standards