Ruptured Abdominal Aortic Aneurysm with Aortic Anatomy Not Suitable for Endovascular Repair

This protocol applies to patients presenting with a ruptured abdominal aortic aneurysm (AAA) whose aortic anatomy is not suitable for endovascular repair — a critical distinction that directly shapes the management approach. Guideline evidence supports endovascular repair over open repair when anatomy allows; this pathway addresses the subset for whom that option is not available.

Management encompasses a permissive hypotension strategy to limit ongoing haemorrhage in the pre-repair phase, followed by open surgical repair as the definitive intervention. The complete protocol details the full haemodynamic targets, operative considerations, and perioperative management steps.

Full regimen, targets, and decision pathway are available in the complete structured protocol.