An Endovascular Strategy for Suspected Ruptured Abdominal Aortic Aneurysm Brings Earlier Home Discharge but Not Early Survival or Cost Benefits

Many patients with suspected ruptured abdominal aortic aneurysm (AAA) are likely to present at a hospital which may not be able to offer either emergency repair or emergency repair by both endovascular and open emergency repair. Within the past year, two small trials of haemodynamically stable patients with aortic anatomy suitable for conventional endovascular aneurysm repair (EVAR) have shown that, in specialist centres, operative mortality is similar after either open or endovascular repair (20–25%).