2005
DOI: 10.1016/j.jvs.2005.05.056
|View full text |Cite
|
Sign up to set email alerts
|

Secondary conversion of the Gore Excluder to operative abdominal aortic aneurysm repair

Abstract: Endotension in the absence of a demonstrable endoleak has been a major indication for late surgical conversion in patients treated with the Excluder endograft. Given the potential presence of an undetected endoleak and the possible effects of progressive sac enlargement on long-term device stability, continued close surveillance of patients with assumed endotension is required. Should changes in device design eliminate endotension, a further reduction in the already low incidence of late open conversion of the… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1

Citation Types

1
52
0
4

Year Published

2008
2008
2018
2018

Publication Types

Select...
7
1

Relationship

0
8

Authors

Journals

citations
Cited by 38 publications
(57 citation statements)
references
References 29 publications
1
52
0
4
Order By: Relevance
“…7 The rate of secondary conversions has been reported as 0% to 9% in EVAR series, [3][4][5][6][8][9][10][11][12][13][14][15] and the risk increases over time. Our previously reported incidence of conversion is 1.7%, with no significant difference in frequency amongst all devices used.…”
mentioning
confidence: 99%
“…7 The rate of secondary conversions has been reported as 0% to 9% in EVAR series, [3][4][5][6][8][9][10][11][12][13][14][15] and the risk increases over time. Our previously reported incidence of conversion is 1.7%, with no significant difference in frequency amongst all devices used.…”
mentioning
confidence: 99%
“…5,6 The current Gore Excluder device has an additional layer which decreases endoprosthesis porosity, though clinical evaluations of this device modification and endotension incidence remain to be investigated. 4 Clinical significance of endotension remains controversial. Aneurysmal sac rupture, due to endotension after successful Excluder stent graft, is very low.…”
Section: Discussionmentioning
confidence: 99%
“…Endotension is an unpredictable late and rare complication of EVAR, described as a persisting increased pressure in growing aneurysm sac size, without evidence of endoleak. [1][2][3][4][5][6][7][8][9][10][11] The endotension reported incidence after EVAR ranges from 2 to 5%. 2,3 Clinical significance and choice of technique for treatment are controversial.…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…This figure is based upon analysis of the initial Gore Excluder US trial that followed 594 patients enrolled from January 1998 to November 2002. 2 There were 16 secondary conversions to open repair, with 8 of these attributed to endotension. At exploration, 2 of these 8 had unrecognized type II endoleaks.…”
mentioning
confidence: 99%