Percutaneous balloon occlusion of the inferior vena cava as an adjunct for treating ruptured type IV thoracoabdominal aneurysm and aortocaval fistula

Espinel, Camilo; Calligaro, Keith D.; Dougherty, Matthew J.

doi:10.1016/j.jvs.2005.12.052

Cited by 10 publications

(10 citation statements)

References 5 publications

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“…Percutaneous balloon occlusion of the IVC to facilitate open surgical repair and minimize blood loss, as well as coil embolization of high output central fistulae, have been described. 24,25,28 In an attempt to circumvent the problems associated with open repair, endovascular stent-graft treatment has also been proposed to offer an attractive therapeutic alternative.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Stent-Graft Repair of Major Abdominal Arteriovenous Fistula:

Antoniou

Koutsias

Karathanos

et al. 2009

Journal of Endovascular Therapy

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Section: Discussionmentioning

confidence: 99%

Endovascular Stent-Graft Repair of Major Abdominal Arteriovenous Fistula:

Antoniou

Koutsias

Karathanos

et al. 2009

Journal of Endovascular Therapy

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“…Most patients undergoing an open repair had primary repair of the ACF from within the sac. Espinel et al 11 and Madani et al 46 used a retrograde balloon occlusion of the inferior vena cava (IVC) for venous control before primarily repairing the ACF. Four patients were repaired with a patch angioplasty of the IVC.…”

Section: Resultsmentioning

confidence: 99%

Aortocaval Fistula: Is Endovascular Repair the Preferred Solution?

Orion

Beaulieu

Black

2016

Annals of Vascular Surgery

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Background To compare outcomes of open and endovascular repair of aortocaval fistulas (ACFs) in the setting of abdominal aortic aneurysms (AAAs). Methods A literature review was undertaken on Pubmed from 1999 to 2014 to identify reported cases of both endovascular and open repair of ACF, including the index case, presented here. Primary outcomes for endovascular repair were: complications, presence of endoleak, and death. Primary outcomes for open repair were: complications and death. Results Forty articles were reviewed with a total of 67 patients, including the index case. Endovascular approach was used in 26 patients (39%). Endoleaks were present in 50%, whereas similarly 46% of patients had a reported complication. Five deaths (19%) occurred in the endovascular group. Open repair was performed in 41 cases (61%). The rate of complication and the death in open repair were 36% and 12%, respectively (P = 0.327 and P = 0.910, respectively) compared with endovascular. Mean follow-up was 7.7 months for the endovascular group and 8.5 months in the open group. Conclusions Previous demonstrations of high morbidity and mortality with open repair of ACF in the setting of AAA have motivated endovascular approaches. However, endoleaks are a significant problem and were present in 50% of ACF cases. The continued presence of an endoleak in the setting of an ACF may result in persistence of the ACF, unlikely thrombosis of the endoleak, and continued sac enlargement. Endovascular repair presents theoretical benefit, yet is not associated with a reduced rate of complication or death versus open repair in this contemporary review.

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“…A literature review showed that this technique has only been documented in 1 case of a patient with a ruptured type IV thoracoabdominal aneurysm. 5 Here, the authors reported passing percutaneous balloons from both common femoral veins to obtain both distal and proximal control of the IVC, which minimized blood loss during repair. In retrospect, we could have similarly obtained proximal control of the IVC via a second balloon occluder.…”

Section: Discussionmentioning

confidence: 99%