SVS Guidelines Bundle

Abdominal Aortic Aneurysm

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Treatment 16 The Patient with a Ruptured Aneurysm ➤ The SVS suggests a door-to-intervention time of <90 minutes, based on a framework of 30-30-30 minutes, for the management of the patient with a ruptured aneurysm. (G-U) ➤ An established protocol for the management of ruptured AAA is essential for optimal outcomes. (G-U) ➤ The SVS recommends implementing hypotensive hemostasis with restriction of fluid resuscitation in the conscious patient. (1-B) ➤ The SVS suggests that patients with ruptured AAA who require transfer for repair be referred to a facility with an established rupture protocol and suitable endovascular resources. (G-U) ➤ If it is anatomically feasible, the SVS recommends EVAR over open repair for treatment of a ruptured AAA. (1-C)

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