Open descending thoracic or thoracoabdominal aortic approaches for complications of endovascular aortic procedures: 19-year experience

Spiliotopoulos, Konstantinos; Preventza, Ourania; Green, Susan Y.; Price, Matt D.; Amarasekara, Hiruni S.; Davis, Brittany M.; Cruz, Kim I. de la; LeMaire, Scott A.; Coselli, Joseph S.

doi:10.1016/j.jtcvs.2017.08.023

Cited by 31 publications

(32 citation statements)

References 34 publications

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“…64 Treated PET VGs, such as rifampicin soaked and silver coated (with or without triclosan) VGs, have been proposed in order to decrease the risk of early infection. 64,66,112 In a series including mainly explanted infected abdominal endografts, treated PET VGs have been shown to provide better results in terms of prevention of re-infection and five year overall survival than standard PET VGs (53% vs. 12%) These results can probably be extrapolated to the TEVAR setting. Bovine pericardium has been reported as a technical option for ISR of thoracic aortic VGEI, tailoring a custom made tube by sewing pericardial sheets.…”

Section: 22mentioning

confidence: 98%

“…In some cases, the infection cannot be totally eradicated but kept under control by year long or even lifelong therapy. 66 4.1. 3.…”

Section: Duration Of Treatmentmentioning

confidence: 99%

“…It can be performed through percutaneous drains or after a surgical procedure with aortic reconstruction. 66 In a systematic review of single centre series, conservative treatment (antimicrobial therapy with or without percutaneously inserted drainage of fluid collections or flushing) was performed in 2% of patients with VGI (n ¼ 1/49) and 17% with EGI (n ¼ 13/77). The mortality rate was 100% at 30 days in VGI group; and 38% at 30 days, 75% at one year, and 100% at five years in the EGI group.…”

Section: Classmentioning

confidence: 99%

“…Omentum can be prepared by laparoscopic access and routed through the diaphragm via the aortic hiatus, to cover the VG and fill a dead space after mediastinal debridement. 66 More extensive muscular flaps, such as latissimus dorsi or serratus muscle have been proposed. 101 If there is no viable tissue available, use of a bovine pericardial patch is suggested.…”

Section: 22mentioning

confidence: 99%

“…101,116 If possible, this reconstruction is performed in two steps, the first step being the bypass through sternotomy and upper laparotomy, and the second step being the removal of the thoracic VG or EG through thoracotomy. 66 The main limitations of this technique are acute bleeding, or involvement of the aortic arch because of the necessity to intervene first on the infected VG or EG. 100 Depending on the situation, alternative routes can be used, such as a posterior pericardial bypass.…”

Section: Extra-anatomic Reconstructionmentioning

confidence: 99%

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Editor's Choice – European Society for Vascular Surgery (ESVS) 2020 Clinical Practice Guidelines on the Management of Vascular Graft and Endograft Infections

Chakfé

Diener

Lejay

et al. 2020

European Journal of Vascular and Endovascular Surgery

369

322

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DEDICATIONAfter studying medicine at Hanover Medical School and philosophy and social psychology at the Leibniz University Hanover, Omke E. Teebken joined the Christian Albrechts University in Kiel at the end of the 1990s as a research fellow at the Clinic for Cardiovascular Surgery headed by Professor Dr Axel Haverich, whom Omke E. Teebken later followed back to Hanover.In Hanover, besides working as a clinician, Omke E.Teebken was particularly active scientifically, contributing to the establishment of the then newly founded Leibniz Laboratories for Biotechnology and Artificial Organs (LEBAO). His work focused on regenerative medicine and tissue engineering, and subsequently he wrote his habilitation thesis in in this field. After basic training in cardiac surgery, he specialised clinically in vascular surgery and played a pioneering role in the development of this field. Before being appointed director of the Clinic for Vascular Surgery e Endovascular Surgery at the Peine Clinic in 2016, Omke E. Teebken headed the Vascular Surgery e Endovascular Surgery Division of the Department of Cardiothoracic, Thoracic, Transplantation and Vascular Surgery at Hanover Medical School. Professor Teebken was a highly appreciated, committed, and competent colleague and teacher.On 8 April 2019, Professor Teebken passed away after a short and severe illness. He was member and author of the ESVS guideline writing committee, an esteemed colleague, and friend.We will always honor his memory.

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Section: 22mentioning

confidence: 98%

“…In some cases, the infection cannot be totally eradicated but kept under control by year long or even lifelong therapy. 66 4.1. 3.…”

Section: Duration Of Treatmentmentioning

confidence: 99%

Section: Classmentioning

confidence: 99%

Section: 22mentioning

confidence: 99%

Section: Extra-anatomic Reconstructionmentioning

confidence: 99%

See 3 more Smart Citations

Editor's Choice – European Society for Vascular Surgery (ESVS) 2020 Clinical Practice Guidelines on the Management of Vascular Graft and Endograft Infections

Chakfé

Diener

Lejay

et al. 2020

European Journal of Vascular and Endovascular Surgery

369

322

View full text Add to dashboard Cite

show abstract

Aortoiliac graft‐enteric fistula presenting as gastrointestinal hemorrhage: A report on a complex case management

Azzopardi

Wallace

Khaled

2023

Clinical Case Reports

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Key Clinical MessageIliac artery‐enteric fistula is a rare cause of lower GI bleeding and can cause life‐threatening consequences. A high degree of clinical suspicion is needed in patients with previous aortic surgery to allow early multidisciplinary intervention.AbstractThis case study discusses the staged management of a 78‐year‐old patient presenting with life‐threatening lower gastrointestinal (GI) bleeding secondary to an aortoiliac graft‐enteric fistula (GEF) into the sigmoid colon on the background of an adenocarcinoma and diverticular disease. The patient had an aorto bi‐iliac synthetic dacron graft repair of an abdominal aortic aneurysm (AAA) some 20 years ago. Here, we present a case of successful endovascular treatment of massive hemorrhage as a bridge to definitive second‐stage dacron graft explant and autologous vein reconstruction with a simultaneous anterior resection.

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Management of Chronic Dissection of the Descending Thoracic and Thoracoabdominal Aorta: Open Approach

Köksoy

Huu

Coselli

2021

Aortic Dissection and Acute Aortic Syndromes

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Open descending thoracic or thoracoabdominal aortic approaches for complications of endovascular aortic procedures: 19-year experience

Abstract: Open repair for complications after endovascular procedures is not uncommon. Experienced centers can yield acceptable outcomes, especially in patients without infection. Close surveillance is mandatory after endovascular aortic repair.

Cited by 31 publications

References 34 publications

Editor's Choice – European Society for Vascular Surgery (ESVS) 2020 Clinical Practice Guidelines on the Management of Vascular Graft and Endograft Infections

Editor's Choice – European Society for Vascular Surgery (ESVS) 2020 Clinical Practice Guidelines on the Management of Vascular Graft and Endograft Infections

Aortoiliac graft‐enteric fistula presenting as gastrointestinal hemorrhage: A report on a complex case management

Management of Chronic Dissection of the Descending Thoracic and Thoracoabdominal Aorta: Open Approach

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