Secondary surgical interventions after endovascular stent-grafting of the thoracic aorta*1

Abstract

Occurrence of late endoleak formation requiring surgical reintervention after ESG is acceptably low. In atherosclerotic aneurysms the development of endoleaks is assumed to be causative related to progression of the underlying aortic disease. A close follow-up of patients after ESG is crucial.

Neurologic complications associated with endovascular repair of thoracic aortic pathology: Incidence and risk factors. A study from the European Collaborators on Stent/Graft Techniques for Aortic Aneurysm Repair (EUROSTAR) Registry

“…Definitions and incidence rates of technical success, follow-up methods, and data on the entire study cohort and subgroups are presented in Appendix 2 (online only). [13][14][15][16][17][18][19][20][21][22][23][24] Data were presented as means and ranges or standard deviations. Odds risk ratios (OR) and 95% confidence intervals (95% CI) were calculated to correlate patient characteristics and operative technical factors with the main outcome events in this study.…”

Acute iatrogenic type A aortic dissection following thoracic aortic endografting

“…Nonetheless, pondering the good outcome results of open conversion after thoracic EG failure, someone could argue that conventional therapy should not be completely abandoned even in this higher-risk population. 3,4,6,22 Langer et al 3 converted eight patients out of a group of 106 EGs: all survived the operation and the majority had an uneventful course. In the experience of Grabenwoger et al, 22 surgical reoperation became necessary in four patients (5%), and in-hospital mortality was null.…”

Basic fibroblast growth factor slow release stent graft for endovascular aortic aneurysm repair: A canine model experiment

“…5 Recently, some cases have been reported in which aneurysms continue to expand and even rupture by endoleaks and endotension. 14,15,25 The treatment methods for endoleaks depend on the location of the leak and its type. Various methods have been reported such as glue, 12 coils, 15 and ligation of branches; however, these methods have shown residual endoleak.…”