!. Mehta, ![70]! P! 0! 6!(7)! 1!(1)!Hémod! P! 5!(6)!I

!. ). Davenport, !. P. Mastracci, !. P. Visser, !. !. Ockert, and . Hinchliff, ![76]! P! 15! 13! 13!Hémod! 8!paraP! 8!I

!. Hémod and !. Ir-!, !insuffisance!rénale! paraP!:!paraplégie! AVC!:!accident!vasculaire!cérébral! I

!. Reimerink and !. Ajax-!, ! rapportent! un! taux! d'échec! de! 42! %! (24! patients)! avec! 9! procédures! endovasculaires! complémentaires,! 5! conversions! chirurgicales,!2!endofuites!de!types!II!traitées!par!laparotomie!et!8!endofuites!qui!n'ont! pas!pu!être!traitées!initialement!(5!de!type!I!et!4!de!type!II)

!. Ockert, ! %)! endofuites! primaires! dont! 3! (10! %)! de! type! I! et!! 4! (14! %)! de! type! II.! Hinchliff! et# al! [4]! ont! 2! endofuites! de! type! I! (une! découverte! en! peropératoire! et! l'autre! en! postopératoire)! et! Hechelhammer

!. Notre, !. Élevé-!-d-'endofuite, and !. De, type!I!soutient!l'utilisation!de!critères!anatomiques!plus! stricts! pour! EVAR! dans! les! AAAr.! Mais! n'oublions! pas! que! l'objectif! principal

!. Cela, !. Fait, !. , !. Aaar, !. et al., !son!application!rencontre!un!certain!nombre!de!barrières! concernant! notamment,! la! morphologie! de! l'anévrysme,! la! logistique

!. La, !. , !. Scanner-!-n-'est-!-pas-!-un-!-geste-!-bénin, and !. , ! sa! disponibilité! et! son! délai! d'analyse! sont! cruciaux! si! le! traitement! endovasculaire!veut!améliorer!la!survie!des!AAAr

!. Boyle, moyen! entre! l'admission! hospitalière!et!l'intervention!(159!min)!ou!le!décès!en!cas!d'abstention!chirurgicale!(435! min)! pour! 100! cas! d'AAAr

!. Le, !. De-!-l-'imagerie-!-n-'est, !. , and !. , !Les!patients!atteints!d'AAAr!sont!en!général!âgés!et!certains, p.81

!. Cette, !. , !. , !. , and !. Le, !;! les! critères! de! stabilité! peuvent! être! optimisés! par! l'emploi! d'un! ballon! d'endoclampage!;! les! critères! morphologiques! peuvent! être! élargis! pour! les! patients! dont! l

!. Différents, !. , !. , !. , !. et al., ! l'âge,! les! pathologies! associées,! l'état! général,! le! choc! ou! l'hypotension! préopératoire,! l'hypothermie,! l'augmentation!de!la!créatinine,!le!taux!bas!d'hémoglobine,!les!complications!techniques! et! postopératoires

!. Aneurysm and !. Score, prédire,!notamment!par!l'existence!d'une!valeur! seuil,! une! mortalité! à! 100! %! pour! un! patient! donné.! Aucun! facteur! de! comorbidité,! ni! aucun!score!ne!suffisent!donc!à!récuser!formellement!un!patient!présentant!un!AAAr!à! l'arrivée!

!. Des, !. , !. , !. , !. et al., plusieurs! facteurs! prédictifs! péjoratifs!préopératoires,!peropératoires!et!postopératoires!:!entre!autres,!AlonsoWPerez! et# al! [108]! ont! retrouvé! l'âge! et! le! choc! préopératoire!;! Korhonen! et# al!

!. Notre, !. De, and !. Limites, ! Il! s'agit! d'une! étude! rétrospective!et!monocentrique

!. Cdwrom and !. , sauf! pour! un! patient),! mais! les! mesures! morphologiques! ont!été!réalisées!par!une!seule!personne,!pouvant!être!source!d'erreurs.! ! Nous!retrouvons

!. Notre-!-définition-!-d-'aaa-!-souswrénale, !. , !. , !. , !. et al., aucun! d'entre!eux!n'englobait!d'artères!rénales

!. Notre, !. , !. , !. , !. Aaar et al., ! Nos! résultats!sont!comparables!à!ceux!de!la!littérature.! ! L'existence!d'une!meilleure!prise

A. and !. La, surveillance!après!traitement!endovasculaire!des!AAAr!;!très!peu!d'études!ont!comparé! ces!résultats.! ! Il! semble! que! l'on! observe! actuellement! une! tendance! à! la! stagnation! du! taux! de! mortalité!globale!après!chirurgie,!autour!de!50!%,!ce!qui!demeure!médiocre.!C'est!pour! cette! raison! que! la! communauté! scientifique! a! développé! de! grands! programmes! de! dépistage!;! à! l'avenir,! l'amélioration

!. Ainsi, !. Aaar, !. , and !. Prévention, ! ! Il!serait!intéressant!de!poursuivre!notre!étude!à!plus!long!terme!afin!d'évaluer!si!le! traitement! endovasculaire! dans! l'urgence! est! un! traitement! durable,! notamment! en! raison! des! endofuites

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. Le-'score-'asa-', American'Society'of'Anesthesiologists)'ou'Physical'status'score' ! ASA!1!:!Patient!normal! !

!. Je, !. , !. , !. , and !. Volonté, ! sans! aucune! discrimination! selon! leur! état! ou! leurs! convictions.! J'interviendrai! pour! les! protéger! si! elles!sont!affaiblies