Endovascular Versus Open Surgical Repair of Abdominal Aortic Aneurysm: A Comparison of Early and Intermediate Results in Patients Suitable for Both Techniques

García-Madrid, C.; Josa, Miguel; Riambau, Vicente; Mestres, Carlos A.; Muntaña, Jaume Uya; Mulet, Jaime

doi:10.1016/j.ejvs.2004.06.015

Cited by 40 publications

(35 citation statements)

References 33 publications

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“…According to literature data mortality in case of patients subjected to stentgraft implantation, due to Stanford B type dissection ranged between 6.7-16% (10, 36 , 37 ), while that after endovascular procedures on the thoracic descending aorta -19% (11). After endovascular procedures considering patients with AAA, mortality ranged between 0.6 and 5.8% (3,4,13,15,34,35).…”

Section: Discussionmentioning

confidence: 99%

“…Mazurkiewicz et al gical experience, improved stentgrafts, data obtained from longer observation periods, clinical registry results (3 , 4 ), and multicenter investigations (5 -9), indications towards endovascular treatment of dissections (10 ), aneurysms (11) and injuries (12) of the descending and abdominal aorta are being determined (13,14,15). Data analyses evaluated the place of endovascular operations in the treatment of rupturing, ruptured and inflammatory abdominal aortic aneurysms (16,17,18).…”

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confidence: 99%

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Analysis of Early and Distant Results Following Endovascular Repair of the Descending and Abdominal Aorta

Mazurkiewicz

Andziak

Sybilski

et al. 2007

Polish Journal of Surgery

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The aim of the study was to analyze early and distant results following thoracic descending and abdominal aorta stentgraft implantations. Material and methods. During the period between 2000 and 2006, 20 stentgrafts were implanted into the thoracic descending aorta and 114 into the abdominal aorta. Results. The initial technical success was obtained in 85.71% of cases considering the descending aorta and 89.47% in case of the abdominal aorta. The initial clinical success was obtained in 85.71% and 84.21%, respectively. In 5% of descending aortic operations the branching of the left subclavian artery was covered. Early mortality in case of descending aortic operations amounted 4.76%, while that after abdominal aortic operations -0.88%. After the implantation of abdominal aortic stentgrafts, 2.63% of early conversions were performed because of aneurysmal rupture, and 1.75% of distant conversions, due to prosthesis inflammation. After abdominal aortic operations, 2.63% of patients required reconstructive operations, due to arterial injury at the site of the approach. After the implantation of descending aortic stentgrafts, early type 1 endoleaks were observed in 10% of cases. After the implantation of abdominal aortic stentgrafts, primary endoleaks were observed in 11.4% of cases: type 1 -7.02%, type 2 -3.51%, type 3 -0.88%. Following the implantation of abdominal aortic stentgrafts, 1.75% of patient's demonstrated symptoms of colon ischemia, while 0.88% -kidney ischemia. After abdominal aortic operations secondary endoleaks were observed in 7.01% of cases: type 1 -2.63%, type 2 -1.75%, type 3 -2.63%. Conclusions. 1. The implantation of stentgrafts is a safe and effective method considering the treatment of descending aortic injuries, dissections and ruptures. 2. The implantation of stentgrafts enables to obtain satisfactory results in the treatment of abdominal aortic aneurysms, considering high-risk patients. 3. The significant number of complications and their heterogenity might be responsible for the limited indications towards stentgraft implantations. The above-mentioned method should be performed in case of patients, where classical operations are connected with an increased risk of complications. Key words: stentgraft, complications, abdominal aortic aneurysm, thoracic descending aorta aneurysm, descending aortic dissection POLSKI PRZEGLĄD CHIRURGICZNY 10.2478/v10035-007-0031-9 2007 In1991, Parodi et al.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Analysis of Early and Distant Results Following Endovascular Repair of the Descending and Abdominal Aorta

Mazurkiewicz

Andziak

Sybilski

et al. 2007

Polish Journal of Surgery

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“…[1][2][3] Abdominal aortic aneurysms are identified in the elderly population; only a few patients die because of AAA rupture prior to the age of 60. The incidence of the disease in the general population is 60/1000 inhabitants [4] and between 1.8% and 6.6% in autopsies studies.…”

Section: Introductionmentioning

confidence: 99%

Abdominal Aortic Aneurysms - Actual Therapeutic Strategies

Droc¹,

Raithel²,

Călinescu³

2012

Aneurysm

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“…[1] Abdominal aortic aneurism (AAA) is a frequently encountered pathology with a prevalence of 1-4% of the entire population and is observed in 5-9% of men older than 65 years. [2] Currently, treatment for AAA is the interposition of vascular prosthesis by surgically reaching the aneurysmatic section of the aorta specifically through the abdomen. [2] Gastrointestinal complications such as ischemic colitis, mechanical ileus and aortoduodenal fistula incidence is 20% in the post-operative period and 16% to 67% of these complications may be mortal.…”

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“…[2] Currently, treatment for AAA is the interposition of vascular prosthesis by surgically reaching the aneurysmatic section of the aorta specifically through the abdomen. [2] Gastrointestinal complications such as ischemic colitis, mechanical ileus and aortoduodenal fistula incidence is 20% in the post-operative period and 16% to 67% of these complications may be mortal. [3] We aimed to present a case that presented to our emergency surgical clinic one week after the aortobifemoral by-pass surgery with a complaint of the ileus.…”

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A rare complication of Aortobifemoral bypass operation: Internal Herniation: Report of a case

Çıtgez¹,

Yetkın²,

Uludağ³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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Intestinal brids are most common cause of postoperative ileus although there are various cause of ileus after abdominal operation. On the other hand internal herniation is a rare cause of ileus after abdominal operations. Diagnosis of this hernias are important because of strangulation and necrosis of its content due to circulatory disturbance. In this case report, we publish a patient with ileus due to a greft which has been used in a previous abdominal surgery for abdominal aort aneurysm.Key Words: Aortobifemoral bypass; internal herniation/complication.Karın operasyonları sonrası çeşitli nedenler dolayısıyla olmakla beraber, en sık intestinal yapışıklıklara bağlı mekanik intestinal tıkanıklık (MİT) görülebilmektedir. İnternal herniasyonlar ise karın operasyonları sonrası nadir bir MİT nedenidir. Bu hernilerde içeriğin boğulma ve nekroza kadar giden dolaşım bozukluğu nedeniyle doğru tanı konabilmesi önemlidir. Bu yazıda, karın aort anevrizma ameliyatı sonrası kullanılan greftin neden olduğu internal herniasyon sonucu oluşan MİT sunuldu. Internal herniation is a rare cause of intestinal occlusion. Internal herniation, either congenital or acquired, is responsible for 0.6-5.8% of all intestinal occlusions. [1] Abdominal aortic aneurism (AAA) is a frequently encountered pathology with a prevalence of 1-4% of the entire population and is observed in 5-9% of men older than 65 years.[2] Currently, treatment for AAA is the interposition of vascular prosthesis by surgically reaching the aneurysmatic section of the aorta specifically through the abdomen.[2] Gastrointestinal complications such as ischemic colitis, mechanical ileus and aortoduodenal fistula incidence is 20% in the post-operative period and 16% to 67% of these complications may be mortal. [3] We aimed to present a case that presented to our emergency surgical clinic one week after the aortobifemoral by-pass surgery with a complaint of the ileus. CASE REPORTA 56-year-old male patient presented to our emergency unit with complaints of abdominal pain and inability to pass gas or move his bowels that was ongoing for 2 days. A midline incision was identified during his abdominal examination, and he explained that he had an operation for AAA in another healthcare institution one week prior. Abdominal distention was present and the patient described malodorous vomiting once before his presentation to the emergency unit. Bowel sounds were hypoactive. There was tenderness in the four abdominal quadrants. Formed stool was identified in the rectal touch. Air-fluid levels were observed on X-ray. Fecaloid content came out from the case after placement of the catheter for decompression. The computed tomography (CT) was unremarkable for the ileus. The patient was urgently admitted for surgery due to deterioration of his general condition and acute abdominal findings. Exploratory laparotomy revealed

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Endovascular Versus Open Surgical Repair of Abdominal Aortic Aneurysm: A Comparison of Early and Intermediate Results in Patients Suitable for Both Techniques

Abstract: EVAR compares favourably with OS in terms of reduction of operative time, hospital length of stay and blood loss. This study did not show a difference in early or late mortality. EVAR durability remains the most critical issue to be addressed.

Cited by 40 publications

References 33 publications

Analysis of Early and Distant Results Following Endovascular Repair of the Descending and Abdominal Aorta

Analysis of Early and Distant Results Following Endovascular Repair of the Descending and Abdominal Aorta

Abdominal Aortic Aneurysms - Actual Therapeutic Strategies

A rare complication of Aortobifemoral bypass operation: Internal Herniation: Report of a case

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