Recurrent Aneurysms and Late Vascular Complications Following Repair of Abdominal Aortic Aneurysms

Pláte, Gunnar

doi:10.1001/archsurg.1985.01390290068011

Cited by 169 publications

(89 citation statements)

References 9 publications

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“…Therefore the true rate of false aneurysm development is still undefined not only for inflammatory AAAs but also after noninflammatory AAA repair. The wide range of rates previously reported is probably due to the various procedures, prosthetic materials, length of follow-up, and methods of detection as well as the aggressiveness with which these lesions have been sought [19][20][21][22]. Edwards et al followed up with yearly sonographic examination 111 patients who underwent aortic bypass grafting for AAA or occlusive disease; they documented a paraanastomotic aneurysm rate of 27% at 15 years [23].…”

Section: Discussionmentioning

confidence: 99%

Long‐term Outcome after Inflammatory Abdominal Aortic Aneurysm Repair: Case‐matched Study

et al. 2003

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Abstract. The purpose of this study was to compare early and late outcomes after inflammatory and noninflammatory abdominal aortic aneurysm (AAA) repair with emphasis on graft-related complications. Of 625 consecutive patients submitted to AAA repair, 18 were classified as having inflammatory AAAs (group 1). The results of this group were compared with those of 54 patients (group 2) retrospectively drawn from patients who underwent aortic replacement for noninflammatory AAAs. A computerassisted matching system was used to match patients according to date of birth, gender, and surgical priority. All patients of both groups were followed by periodic clinical and instrumental examinations. Patients in group 1 complained more frequently of aneurysm-related symptoms (72% vs. 20%; p = 0.0001), and their erythrocyte sedimentation rate was elevated more often (78% vs. 19%; p < 0.0001). Surgical morbidity and mortality rates were not different. The mean lengths of follow-up were 61 ± 47 months (group 1) and 71 ± 38 months (group 2). The 10-year overall survival rates did not differ significantly between the two groups (49.1% ± 16.9% for group 1 vs. 61.6% ± 13.8% for group 2; p = 0.26, log-rank test). In contrast, the free from paraanastomotic aneurysm survival rates were significantly lower in group 1 (57.3% ± 20.2% vs. 97.8% ± 2.5% at 10 years; p = 0.025, log-rank test). Long-term outcomes showed a higher incidence of graft-related complications in group 1. As inflammatory aneurysms might represent a risk factor for the development of paraanastomotic aneurysms, routine imaging surveillance of graft aortic healing after inflammatory AAA repair is warranted.

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Section: Discussionmentioning

confidence: 99%

Long‐term Outcome after Inflammatory Abdominal Aortic Aneurysm Repair: Case‐matched Study

et al. 2003

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“…Plate et al reported that new true aneurysms were detected in 6 of 97 patients being followed up after AAA repair. 1 Conversely, Snellen et al found no iliac aneurysms in any of 110 patients who had undergone AAA repair with a tube graft. 2 While these reports suggest that the development of new aneurysms in the iliac region after AAA repair is not common, the growth rate of small IIAAs has yet to be clarified.…”

Section: Discussionmentioning

confidence: 97%

The Fate of Small Aneurysms of the Internal Iliac Artery Following Proximal Ligation in Abdominal Aortic Aneurysm Repair

et al. 2000

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To assess the natural history of small internal iliac artery aneurysms (IIAA) measuring 2.0-3.0 cm in diameter, proximally ligated in association with abdominal aortic aneurysm (AAA) repair, we examined 9 of 12 patients who underwent this type of surgery. Postoperative computed tomography scanning demonstrated that three IIAAs were still patent and the other six were thrombosed. An increase in the maximum diameter from that at the time of surgery was seen in four IIAAs. One patient suffered serious complications in that a dilated IIAA caused right ureteral obstruction and subsequent hydronephrosis accompanied by unilateral renal dysfunction. This was successfully treated by resection of the IIAA. The findings of this analysis led us to conclude that small IIAAs associated with AAA repair should be treated by either endoaneurysmorrhaphy or resection of the aneurysm after both proximal and distal ligation.

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“…In particular, our series was homogenous in respect to the textile graft used, knitted and collagen coated (Vascutek in about 80%, and other but similar prostheses in 20%). Operative mortality following repair of pararenal aneurysms varied from 21 to 37.5% (14,15,17), while mortality for ruptured cases varied from 22 to 70% (15)(16)(17)(18).…”

Section: Systematic Late Us Examinationmentioning

confidence: 99%

Open Surgery for Abdominal Aortic Aneurysm or Aorto-Iliac Occlusive Disease — Clinical and Ultrasonographic Long-Term Results

Fontaine¹,

Kolh²,

Creemers³

et al. 2008

Acta Chirurgica Belgica

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Recurrent Aneurysms and Late Vascular Complications Following Repair of Abdominal Aortic Aneurysms

Cited by 169 publications

References 9 publications

Long‐term Outcome after Inflammatory Abdominal Aortic Aneurysm Repair: Case‐matched Study

Long‐term Outcome after Inflammatory Abdominal Aortic Aneurysm Repair: Case‐matched Study

The Fate of Small Aneurysms of the Internal Iliac Artery Following Proximal Ligation in Abdominal Aortic Aneurysm Repair

Open Surgery for Abdominal Aortic Aneurysm or Aorto-Iliac Occlusive Disease — Clinical and Ultrasonographic Long-Term Results

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