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Outcomes of endovascular treatment of ruptured abdominal aortic aneurysms Giampaolo Greco, PhD, Natalia Egorova, PhD, Patrice L. Anderson, MD, Annetine Gelijns, PhD, Alan Moskowitz, MD, Roman Nowygrod, MD, Ray Arons, DrPH, James McKinsey, MD, Nicholas J. Morrissey, MD, K. Craig Kent, MD Journal of Vascular Surgery Volume 43, Issue 3, Pages 453-459.e1 (March 2006) DOI: 10.1016/j.jvs.2005.11.024 Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 1 Relative usage of open or endovascular procedures for the treatment of ruptured abdominal aortic aneurysm (RAAA) from the states of California, Florida, New Jersey and New York. Data for endovascular repair for the year 2000 are based only on the last three months of the year 2000. Journal of Vascular Surgery 2006 43, 453-459.e1DOI: (10.1016/j.jvs.2005.11.024) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 2 Distribution of endovascular (A) and open (B) procedures for the repair of ruptured abdominal aortic aneurysm performed during a 4-year period (2000 through 2003) as a function of hospital volume. Journal of Vascular Surgery 2006 43, 453-459.e1DOI: (10.1016/j.jvs.2005.11.024) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 3 In hospital mortality of ruptured abdominal aortic aneurysm patients who received open or endovascular repair, for each state and for all four states combined over 4 years (2000 through 2003). Actual number of cases and 95% confidence intervals are shown for each bar (*P < 0.05). Journal of Vascular Surgery 2006 43, 453-459.e1DOI: (10.1016/j.jvs.2005.11.024) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 4 Timing of death occurrence during hospitalization for ruptured abdominal aortic aneurysm in patients receiving either endo or open procedures. Data from each state and for all 4 years (2000 through 2003) were combined. 95% confidence intervals are shown. Journal of Vascular Surgery 2006 43, 453-459.e1DOI: (10.1016/j.jvs.2005.11.024) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 5 Relationship between mortality of ruptured abdominal aortic aneurysm (RAAA) and hospital volume (elective and nonelective cases from 2000 through 2003) for (A) endovascular repair (P for trend = .02, or (B) open repair (P for trend < .0001). Data from each state and for all four years were combined. The number of RAAA cases in each volume category for endovascular repair is: 166 for 1-50; 28 for 51-100; 33 for 101-150; 36 for 151-200; and 27 for >200. The number of RAAA cases in each volume category for open repair is 1410 for 1-50; 1219 for 51-100; 879 for 101-150; 620 for 151-200; and 1380 for >200. Open vs endo P = .03. 95% confidence intervals are shown. Journal of Vascular Surgery 2006 43, 453-459.e1DOI: (10.1016/j.jvs.2005.11.024) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 6 Disposition of patients who survived endovascular or open repair of a ruptured abdominal aortic aneurysm. The frequency of different dispositions, subsequent to hospital discharge, are shown. Data from each state and for all four years were combined (*P < .05). Transfer Acute, transfer to acute care facility. 95% confidence intervals are shown. Journal of Vascular Surgery 2006 43, 453-459.e1DOI: (10.1016/j.jvs.2005.11.024) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions