Stent-Graft Repairs of Visceral and Renal Artery Aneurysms Are Effective and Result in Long-term Patency

Künzle, Stefan; Glenck, Michael; Puippe, Gilbert; Schadde, Erik; Mayer, Dieter; Pfammatter, Thomas

doi:10.1016/j.jvir.2013.03.025

Cited by 50 publications

(38 citation statements)

References 20 publications

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“…Kunzle et al also reported 2 cases of asymptomatic thrombosis during follow-up. 28 Acute thrombosis was not reported in this series or in our series. Late thrombosis seems to be better tolerated thanks to collateral hemodynamic compensation, thereby avoiding ischemic damage to the affected organ.…”

Section: Discussioncontrasting

confidence: 45%

“…Preventive embolization of collateral branches at the origin of the aneurysm is recommended to avoid endoleaks; the coil technique is the most widely used. Kunzle et al 28 reported one case of organ infarction out of 9 embolizations. In our series, embolization of the collateral branches was necessary in 4 cases, with no evidence of related ischemic damage.…”

Section: Discussionmentioning

confidence: 99%

“…There are few papers published in the medical literature about the endovascular treatment of visceral aneurysms and pseudoaneurysms using coated stents. 12,28,29 Our objective is to analyze the long-term safety and efficacy of the treatment of visceral aneurysms and pseudoaneurysms with coated stents by means of a multicenter retrospective analysis.…”

Section: Introductionmentioning

confidence: 99%

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Endovascular Treatment of Visceral Artery Aneurysms and Pseudoaneurysms With Stent-Graft: Analysis of Immediate and Long-Term Results

Cappucci¹,

Zarco

Orgera³

et al. 2017

Cirugía Española (English Edition)

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Available online xxxKeywords: Endovascular Visceral artery aneurysm Pseudoaneurysm Embolization Stent-graft a b s t r a c t Introduction: The aim of this study is to analyze the safety and efficacy of stent-graft endovascular treatment for visceral artery aneurysms and pseudoaneurysms. Methods: Multicentric retrospective series of patients with visceral aneurysms and pseudoaneurysms treated by means of stent graft. The following variables were analyzed: Age, sex, type of lesion (aneurysms/pseudoaneurysms), localization, rate of success, intraprocedural and long term complication rate (SIR classification). Follow-up was performed under clinical and radiological assessment.Results: Twenty-five patients (16 men), with a mean age of 59 (range 27-79), were treated.The indication was aneurysm in 19 patients and pseudoaneurysms in 6. The localizations were: splenic artery (12), hepatic artery (5), renal artery (4), celiac trunk (3) and gastroduodenal artery (1). Successful treatment rate was 96% (24/25 patients). Intraprocedural complication rate was 12% (4% major; 8% minor). Complete occlusion was demonstrated during follow up (mean 33 months, range 6-72) in the 24 patients with technical success. Two stent migrations (2/24; 8%) and 4 stent thrombosis (4/24; 16%) were detected. Mortality rate was 0%. § Please cite this article as: Cappucci M, Zarco F, Orgera G, Ló pez-Rueda A, Moreno J, Laurino F, et al. Tratamiento endovascular de aneurismas y pseudoaneurismas de arterias viscerales mediante stents recubiertos: aná lisis de resultados inmediatos y a largo plazo. Cir Esp. 2017. http://dx.

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Section: Discussioncontrasting

confidence: 45%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Endovascular Treatment of Visceral Artery Aneurysms and Pseudoaneurysms With Stent-Graft: Analysis of Immediate and Long-Term Results

Cappucci¹,

Zarco

Orgera³

et al. 2017

Cirugía Española (English Edition)

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“…Visceral artery MAs are a rare complication of a rare infection; they account for ≤1% of intra-abdominal MAs. [263][264][265][266][267][268][269] They most often involve the superior mesenteric artery but have been described in the liver, spleen, and kidney. Clinically, they can cause fever and (rarely) a pulsatile abdominal mass, and depending on the location, they may be associated with acute gastrointestinal bleeding, hemobelia, or hematuria.…”

Section: Additional Factors In Management Of Aortic Mamentioning

confidence: 99%

“…189,[263][264][265][266][267][268][269][270] Because the risk of rupture of visceral artery aneurysm is high and is associated with a high mortality, either open surgical intervention or EVT may be considered. [263][264][265][266][267][268][269][270] Open surgical treatment usually involves ligation and resection of the aneurysm with or without revascularization; EVT may require a combina- Endovascular Device Infection. Endovascular device treatment of aortic aneurysms was initially developed as an alternative management tool for patients who were considered to be unfit for traditional open surgical repair because of underlying comorbidities or high risk for surgical complications, or for emergency temporizing control of rupture or impending rupture of aortic aneurysm.…”

Section: Additional Factors In Management Of Aortic Mamentioning

confidence: 99%

Vascular Graft Infections, Mycotic Aneurysms, and Endovascular Infections: A Scientific Statement From the American Heart Association

Wilson¹,

Bower²,

Creager³

et al. 2016

Circulation

373

307

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The use of synthetic material for reconstructive vascular surgery was first reported during the early 1950s. Infection involving vascular graft prostheses is an infrequent but devastating complication of reconstructive vascular graft surgery and is associated with a high morbidity and, in some situations, mortality. Improvements in surgical techniques and graft design, including the use of native venous or arterial tissue, have reduced the frequency of infection and severity of complications from vascular graft infection (VGI). However, these advances have also led to more frequent vascular graft procedures occurring in a patient population with multiple underlying comorbidities that would have previously disqualified them as candidates for vascular reconstructive surgery. Underlying comorbidities, such as diabetes mellitus or immune compromise, increase the risk of infection and serious infection-related complications. The major complications of VGI include sepsis, amputation, disruption of infected anastomotic suture line with rupture or pseudoaneurysm formation, embolization of infected thrombi, reinfection of reconstructed vascular grafts, enteric fistulae to the small or large bowel, bacteremic spread of infection to other sites, and death. VGIs can be categorized broadly into those that occur in an extracavitary location, primarily in the groin or lower extremities, or in an intracavitary location, primarily within the abdomen or less commonly within the thorax. frequencyThe frequency of VGI depends on the anatomic location of the graft. The infection rate is 1.5% to 2% for most extracavitary grafts and as high as 6% with vascular grafts in the groin. [1][2][3][4][5][6][7][8][9] For intracavitary grafts, the infection rate is ≈1% to 5%. 1-6 Graft infection is most common after emergency procedures and after reoperation. [1][2][3][4]10 Aortic graft erosion or fistulous communication into the duodenum or other areas of the bowel reportedly occurs in 1% to 2% of patients after aortic reconstruction. 11,12 MicrobiologyThe microbiological cause of VGI has evolved over the years. 1 In early published studies, Staphylococcus aureus was the predominant microorganism recovered. 1,13 Improvements in surgical technique, administration of prophylactic antistaphylococcal antimicrobial therapy, and other factors have resulted in a changing microbiological epidemiology. Vascular graft surgery performed on patients with multiple underlying comorbidities and the increased frequency of emergency procedures have contributed to the changing spectrum of infection. Other factors such as changes in hospital flora, surgery in patients with complicated vascular anatomy, and multiple revisions of previous vascular surgery have resulted in a more diverse microbio- clInIcal stateMents anD GuIDelInes logical spectrum of infection, which includes multidrugresistant strains, polymicrobial infection, and Candida species. Gram-positive cocci accounts for at least two thirds of VGIs. 1,13 Infections caused by coagulase-negative staphylococ...

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Vascular Complications in Chronic Pancreatitis

Agarwal

Kalayarasan

Javed

2021

Clinical Pancreatology for Practising Gastroenterologists and Surgeons

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Stent-Graft Repairs of Visceral and Renal Artery Aneurysms Are Effective and Result in Long-term Patency

Cited by 50 publications

References 20 publications

Endovascular Treatment of Visceral Artery Aneurysms and Pseudoaneurysms With Stent-Graft: Analysis of Immediate and Long-Term Results

Endovascular Treatment of Visceral Artery Aneurysms and Pseudoaneurysms With Stent-Graft: Analysis of Immediate and Long-Term Results

Vascular Graft Infections, Mycotic Aneurysms, and Endovascular Infections: A Scientific Statement From the American Heart Association

Vascular Complications in Chronic Pancreatitis

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