Secondary aortoenteric fistulae — Changes from 1973 to 1993

Bergqvist, David; Björkman, Hilding; Bolin, T. D.; Dalman, P.; Elfström, Johan; Forsberg, Ola; Johansen, Lars Vendelbo; Karacagil, Sadettin; Karlqvist, P.-Å.; Länne, Toste; Pláte, Gunnar; Ribbe, Else; Spangen, Leif; Stenbaek, J; Thomsen, M.; Wiklund, B; Ängquist, K-A.

doi:10.1016/s1078-5884(96)80175-4

Cited by 54 publications

(33 citation statements)

References 6 publications

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“…Previous studies done in this hospital have demonstrated that a high risk of developing infection and anastomotic aneurysm exists when Dacron prostheses are used, and that use of these devices is associated with some deaths; the second most frequent cause of late death is complications related to the use of prosthetic graft 6,7,9,57,58 . The same results are reported from different vascular centers [59][60][61][62][63][64] . Raptis et al (1995) report a 1% per year postsurgical complication rate associated with aortofemoral bypass for up to 10 years after surgery 65 .…”

Section: Discussionsupporting

confidence: 82%

Aortofemoral thromboendarterectomy

et al. 2002

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PURPOSE:To study whether endarterectomy is feasible in all patients with aortofemoral atherosclerotic obstruction, considering early and late results.METHODS: A clinical, prospective, and descriptive study carried out in a university hospital. Inclusion criteria were atherosclerotic aortofemoral obstructive disease, clinical status compatible with major surgery, and absence of prior restorative procedure. Exclusion criteria were aneurysm, inflammatory arterial disease, and prior restorative procedure found during surgery. Eighty patients entered the protocol, but 9 were excluded (11.2%). Seventy-one patients, mean age of 57.3 years, underwent endarterectomy. Operative indications were intermittent claudication and critical ischemia. A ring-stripper endarterectomy technique was employed in all patients. Results were related to age, gender, symptoms, presence of diabetes mellitus, extension of endarterectomy, and extent of obstructive disease. Chi square or Fisher exact tests were used when appropriate, and the Wilkoxon (Gehan) test was used to compare survival curves.RESULTS: Sixty-eight (100%) endarterectomies were patent at discharge. The mortality rate was 4.2%. The amputation rate (4.3%) was higher in diabetic patients and when there was associated femoropopliteal obstruction. The 5-year survival rate was 83.3%, and late deaths were mostly cardiovascular. Diabetes mellitus, age above 65 years, and associated femoropopliteal obstruction lowered the survival rate. The 5-year patency rate was 87.0%. Critical ischemia and less extensive endarterectomies were associated with a lower patency rate. There were no anastomotic aneurysms or deep infections.CONCLUSIONS: Aortofemoral thromboendarterectomy is feasible in 90% of patients, early mortality rate is low, diabetic patients and those with associated femoropopliteal obstructive disease have a higher mortality rate, amputation rate is low, late deaths are mostly cardiovascular, and late patency rate is high, and even higher in the intermittent claudication group.

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Section: Discussionsupporting

confidence: 82%

Aortofemoral thromboendarterectomy

et al. 2002

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“…Diagnosis of aorto-enteric fistulae can be difficult (39). If untreated, this condition is always fatal.…”

Section: Aorto-enteric Fistulaementioning

confidence: 99%

What to Do When Evidence is Lacking — Implications on Treatment of Aortic Ulcers, Pseudoaneurysms and Aorto-Enteric Fistulae

et al. 2008

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“…The placement of a feeding jejunostomy at the time of operation should also be considered (Chenu 2009). The risk of secondary rupture of the abdominal aorta following treatment for an aortoenteric fistula has been reported as being between 9 and 17% (Kuestner et al, 1995;Menawat et al, 1997;Bergqvist et al, 1996). These figures add to the significant overall mortality risk associated with this complication.…”

Section: Managementmentioning

confidence: 99%