| Revue: | Revista médica de Chile |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000455009 |
| ISSN: | 0034-9887 |
| Autores: | Mariné, Leopoldo1 Mertens, Renato1 Valdes, Francisco1 Torrealba, José Ignacio1 Bergoeing, Michel1 Vargas, José Francisco1 Villarroel, Ricardo2 |
| Instituciones: | 1Pontificia Universidad Católica de Chile, Departamento de Cirugía Vascular y Endovascular, Santiago de Chile. Chile 2Clínica Puerto Varas, Puerto Varas. Chile |
| Año: | 2022 |
| Periodo: | Jun |
| Volumen: | 150 |
| Número: | 6 |
| Paginación: | 788-801 |
| País: | Chile |
| Idioma: | Español |
| Tipo de documento: | Artículo |
| Enfoque: | Analítico, descriptivo |
| Resumen en inglés | Ruptured abdominal aortic aneurysm (RAAA) is an arterial emergency with an overall mortality of 80%-90% secondary to massive hemorrhage. If a patient with RAAA presents in a primary hospital without resolution capacity, survival will depend on early transfer to a center with adequately trained specialists. This article reviews the evidence supporting the centralization of AAAR treatment in qualified centers, specifying the criteria used for the selection of referral centers and the role of a coordinating unit. Our current referral system, which is based primarily on costs, is also described. Patients with AAAR who consult in non-resolving centers should be rapidly transferred to a qualified referral center, following a transfer protocol, and guided by a coordinating unit acting according to technical and established criteria based on results, quality, and costs. Qualified referral centers should have an accredited vascular surgeon and a high institutional aortic surgery volume, adequate infrastructure, endovascular resolution capacity, support services (intensive care, hemodialysis, etc.) and specialized personnel permanently available |
| Disciplinas: | Medicina |
| Palabras clave: | Sistema cardiovascular, Cirugía, Aneurisma aórtico abdominal, Cirugía vascular, Mortalidad |
| Keyword: | Cardiovascular system, Surgery, Abdominal aortic aneurysm, Vascular surgery, Mortality |
| Texte intégral: | Texto completo (Ver HTML) Texto completo (Ver PDF) |
