In Vivo Crushing of an Aortic Stent Enables Endovascular Repair of a Large Infrarenal Aortic Pseudoaneurysm

Dorros, Gerald; Jaff, Michael R.; Parikh, Ashish; Sehgal, Rajesh; Thota, Venkat; Ramireddy, Keshav; Carballo, Richard E.

doi:10.1583/1074-6218(1998)005<0359:ivcoaa>2.0.co;2

Cited by 9 publications

(6 citation statements)

References 11 publications

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“…There have been cases in the literature recently in which FAA was treated by an endovascularly placed graft. 59 We share the opinion that this method should be applied in treating complicated and high-risk cases, such as FAA at the aorta. 59 Using this method in cases of FAA in the groin, problems can be caused by kinking and thrombosis of the implanted stent graft.…”

Section: Discussionmentioning

confidence: 95%

“…59 We share the opinion that this method should be applied in treating complicated and high-risk cases, such as FAA at the aorta. 59 Using this method in cases of FAA in the groin, problems can be caused by kinking and thrombosis of the implanted stent graft. It is hoped that very soon technology development will resolve this problem and provide a fast, safe, and less invasive procedure with better results.…”

Section: Discussionmentioning

confidence: 95%

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False Anastomotic Aneurysms

et al. 2007

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This retrospective study covers the period from 1991 to 2002, during which 3,623 patients were operated on because of aneurysmal or occlusive disease of aortoiliac and femoropopliteal segments. Among them, 87 patients (2.4%) developed a false anastomotic aneurysm in the 12-year follow-up period and were treated operatively. Most frequently, in 53 patients (6.9%), a false anastomotic aneurysm developed after aortobifemoral bypass performed owing to aortoiliac occlusive disease. The cause of false anastomotic aneurysm was infection in 21 cases (24.7%); resection and revascularization were performed with a Dacron graft in 46 cases (52.9%), with a polytetrafluoroethylene graft in 10 cases (11.5%), and with the great saphenous vein in 16 cases (18.4%). Homograft implantation in 4 patients (4.6%) or extra-anatomic bypasses in 11 cases (12.6%) were performed when graft infection was suspected. Of 87 patients who underwent surgery, 74 (85.5%) had good early results without infection, reintervention, limb loss, and mortality. The presence of infection as a cause of false anastomotic aneurysm and comorbidity increased the mortality rate significantly after the reoperation, whereas the type of graft used in treatment had no influence on early results.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 95%

False Anastomotic Aneurysms

et al. 2007

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“…Other than standard surgical approach, there have been cases in the literature recently in which FAA was treated by an endovascular placed graft [111]. Using this method in cases of FAA in the groin, problems can be caused by kinking and thrombosis of the implanted stent graft.…”

Section: Natural History and Treatmentmentioning

confidence: 99%

False Aneurysms

Banzi¹,

Davidovi²,

Radmili³

et al. 2012

Aneurysm

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“…Ovaj postupak je primewen kod 32 naša bolesnika (36,8%), dok je kod 39 bolesnika (44,8%) posle resekcije pseudoaneurizme primewena bajpas-procedura. U posledwe vreme u literaturi se prikazuju i bolesnici kod kojih je anastomozna pseudoaneurizma lečena graftom postavqenim endovaskularno [65]. Za sada je reč o pojedinačnim slučajevima i sa kratkim periodom nadgledawa, pa je teško govoriti o pravoj vrednosti ovog metoda.…”

Section: Diskusijaunclassified

Anastomotic pseudoaneurysms

et al. 2006

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Anastomotic pseudoaneurysm is a form of false aneurysm, whose wall does not consist of all normal layers of arterial wall. Given the rising number of reconstructive vascular procedures, the increase of anastomotic pseudoaneurysm cases is expected. Therefore, identification of causes, clinical manifestations as well as factors which affect the outcome of operative treatment of anastomotic pseudoaneurysms is of great practical value. This retrospectively-prospective study included 87 surgically treated cases of anastomotic pseudoaneurysms in the period from 1991 to 2002. The most often localization of anastomotic pseudoaneurysms was the inguinal region (68-86.2%). In the majority of cases, they were caused by arterial degeneration in the anastomotic region--56 cases (65.9%) and infection--21 cases (24.7%). The most frequent manifestations of anastomotic pseudoaneurysms were bleeding due to rupture in 26 cases (29.9%) and chronic limb ischaemia in 22 cases (25.3%). An acute limb ischaemia was present in 17 cases (19.5%), the symptoms caused by local compression to the surrounding structures--in 9 cases (10.3%), and in 12 cases (13.8%), the only manifestation of anastomotic pseudoaneurysm was asymptomatic pulsatile mass. In 32 cases (36.8%), surgical treatment involved the resection of anastomotic pseudoaneurysm and graft interposition, whereas in 39 cases (44.8%), bypass procedure had to be performed after the resection. Comorbidity significantly increased mortality in the first 30 days. The use of Dacron graft in primary operation significantly improved early results of operative treatment. Absence of infection as the cause of anastomotic pseudoaneurysm is a statistically important prognostic factor of operative treatment, considering the graft patency, limb salvage, infection, need for reintervention and mortality.

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In Vivo Crushing of an Aortic Stent Enables Endovascular Repair of a Large Infrarenal Aortic Pseudoaneurysm

Abstract: Malpositioned stents that are hindering an endoluminal procedure may be crushed against the arterial wall in vivo to facilitate passage of endovascular instruments or devices.

Cited by 9 publications

References 11 publications

False Anastomotic Aneurysms

False Anastomotic Aneurysms

False Aneurysms

Anastomotic pseudoaneurysms

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