| Abstract [eng] |
SUMMARY This paper reviews the hybrid treatment tactics that can be applied to the management of ruptured abdominal aortic aneurysm in the Emergency Department. The paper examines and describes the risk factors, pathophysiology, and clinical features of abdominal aortic aneurysm and its rupture, as well as the diagnostic evaluation criteria of this condition. The second section summarizes and explains what treatment options may be available for patients diagnosed with a ruptured abdominal aortic aneurysm. The main treatment methods are as follows: the hybrid treatment tactic, currently considered the most promising, the traditional open surgical repair treatment method, and endovascular treatment, which is rapidly gaining popularity. Importantly, this research provides a comparison of open surgical and endovascular treatment methods, since the superiority of one of these treatment methods over the other is controversial and debatable. Further, it is worth noting that researchers recommend accounting for possible complications, such as blood flow into the inner wall of the aorta, which can eventually lead to aneurysm growth or even rupture, as well as conditions such as aortic pseudoaneurysms, which are considered extremely dangerous due to the high risk of mortality. This paper also discusses the treatment tactics used during the Covid-19 pandemic, including restrictions on surgery and the wider use of endovascular treatment tactics. Moreover, the prevention options for abdominal aortic aneurysms, such as CD73 induction and exercise, are also reviewed. This research also mentions the strategies of the professional team aimed at increasing the efficiency of patient care coordination, preventing delays in the surgery room, and improving healing results. Thus, although the topic of abdominal aortic aneurysm rupture and its treatment options is comparatively not widely studied in the literature, the aforementioned condition is considered extremely dangerous, so this research is relevant and beneficial to efficiently treat a ruptured aortic aneurysm and prevent its occurrence. |
