KĨ THUẬT BƠM BÓNG ĐỘNG MẠCH CHỦ TRONG CAN THIỆP NỘI MẠCH Ở NGƯỜI BỆNH PHÌNH ĐỘNG MẠCH CHỦ BỤNG VỠ TẠI VIỆN TIM MẠCH VIỆT NAM

Abstract

For abdominal aortic aneurysm (AAA), the risk of rupture increases with size: Over 5 years, the rupture risk is 1%–2% for aneurysms smaller than 5 cm, but 20%–40% for those larger than 5 cm. AAA accounts for about 1% of deaths in men over 65 and is the 10th leading cause of death in men aged 65 and older. The mortality rate from ruptured AAA exceeds 80%, making early diagnosis and treatment before rupture critically important. Endovascular stent-graft placement (EVAR) is a minimally invasive procedure that eliminates the aneurysm without open surgery. In our study, over 2 years, 5 patients diagnosed with ruptured AAA underwent endovascular intervention using retrograde aortic balloon occlusion combined with EVAR. The results were as follows: 1 patient died 3 days after procedure due to abdominal sepsis (20%), 4 patients stabilized and were discharged (80%), The average hospital stay was 7.4 days. This technique can be quickly deployed, helping to shorten bleeding control time, eliminate the ruptured aneurysm, and save patients' lives.