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)
