Purpose: To review emergency Endovascular Aneurysm Repair (eEVAR) experienced in our department.

Method: From 2011 to 2016, we experienced 20 cases of abdominal aortic and/or iliac artery aneurysm rupture cases including 13 eEVARs and 7 laparotomy surgeries. In EVAR group, 8 cases of Abdominal Aortic Aneurysm (AAA), 3 common iliac, and 2 internal iliac artery aneurysm were the rupture sites. The anatomy of the aneurysm in EVAR group, 11 cases were within IFU and 2 cases were outside IFU. In the laparotomy group, the site of the proximal cross clamping was infrarenal aorta in 2 cases and suprarenal aorta in 5.

Results: The devices used in the EVAR group were EXCLUDER in 11 cases and EPL in 2 cases. In 5 cases, simultaneously internal iliac artery coil embolization (1 case on both sides) was performed simultaneously. The average bleeding volume, operation time, and ICU staying time were 497 ml, 2 hours 24 min., and 6.3 days. No deaths were observed within 30 days. But one patient who underwent eEVAR in a shock state was lost due to DIC. All patients other than the above case are followed currently in the outpatient clinic with no findings of endoleaks.

Conclusions: It was suggested that eEVAR for ruptured cases could be performed safely and effectively if the systemic circulation is relatively stable and the anatomical form of the aneurysm is suitable.