Recommendations for Repair of Ruptured AAA

Referenced studies that support the recommendations are summarized in the Online Data Supplement.

COR	LOE	Recommendations
1	B-R	1. In patients presenting with ruptured AAA who are hemodynamically stable, CT imaging is recommended to evaluate whether the AAA is amenable to endovascular repair.1–3
1	B-R	2. In patients presenting with ruptured AAA who have suitable anatomy, endovascular repair is recommended over open repair to reduce the risk of morbidity and mortality.1,4–6
2a	B-NR	3. In patients undergoing endovascular repair for ruptured AAA, local anesthesia is preferred to general anesthesia to reduce risk of perioperative mortality.7–9
2a	C-LD	4. In patients with ruptured AAA, permissive hypotension can be beneficial to decrease the rate of bleeding.1,3,10–12