Secondary procedures after endovascular aortic aneurysm repair

Abstract

Secondary procedures after EAR are common. Reinterventions can be grouped temporally on the basis of indication. Treatment for limb ischemia is predominately early (>/=3 months), whereas treatment for endoleaks occurs at approximately 1 year and interventions for migration predominate after 2 years.

ACC/AHA 2005 Guidelines for the Management of Patients With Peripheral Arterial Disease (Lower Extremity, Renal, Mesenteric, and Abdominal Aortic): A Collaborative Report from the American Association for Vascular Surgery/Society for Vascular Surgery,⁎Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients

“…Again using their scoring system (0 to 3) for stratifying incremental risk, Becker et al (1141) ENDOGRAFT-RELATED COMPLICATIONS. Secondary interventions are common after endovascular aortic aneurysm repair and often are performed within months for limb ischemia, within 1 year for endoleaks, and after 2 years or more for graft migration (1207). Aneurysm rupture is a rare event in most series, possibly because of the recognized importance of serial computed tomography scanning to detect continued aneurysm expansion.…”

ACC/AHA 2005 Practice Guidelines for the Management of Patients With Peripheral Arterial Disease (Lower Extremity, Renal, Mesenteric, and Abdominal Aortic)

“…ENDOGRAFT-RELATED COMPLICATIONS. Secondary interventions are common after endovascular aortic aneurysm repair and often are performed within months for limb ischemia, within 1 year for endoleaks, and after 2 years or more for graft migration (1207). Aneurysm rupture is a rare event in most series, possibly because of the recognized importance of serial computed tomography scanning to detect continued aneurysm expansion.…”

Endovascular Graft Limb Occlusion After an Anterior Resection for Rectal Cancer: Report of a Case

“…[3][4][5] One of the main reasons for additional surgery is graft limb occlusion. Conners et al 6 describe the postimplantation complications of a variety of graft devices. This series showed that 19.6% of the patients undergoing EVAR required further intervention, the majority of which tend to occur in the fi rst 90 days, and 7.3% of these were due to graft limb occlusion.…”