Successful Endovascular Treatment of Aortoenteric Fistula Secondary to Eroding Duodenal Stent

Verhey, Peter T.; Best, A. Vans; Lakin, Paul C.; Nachiondo, James; Petersen, Bryan D.

doi:10.1097/01.rvi.0000232499.04888.d0

Cited by 17 publications

(11 citation statements)

References 6 publications

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“…Twenty-seven studies or case reports on 57 patients were identified 2–4,7–30 ; including 2 patients of ours, 5 for a total of 59 patients (Table 1). Approximately half of all patients were reported as case series or case-controlled studies.…”

Section: Resultsmentioning

confidence: 99%

Endovascular Management of Arterioenteric Fistulas: A Systemic Review and Meta-Analysis of the Literature

Kakkos

Papadoulas

Tsolakis

2011

Journal of Endovascular Therapy

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Section: Resultsmentioning

confidence: 99%

Endovascular Management of Arterioenteric Fistulas: A Systemic Review and Meta-Analysis of the Literature

Kakkos

Papadoulas

Tsolakis

2011

Journal of Endovascular Therapy

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“…Another diagnostic tool is arteriography, even though it tends to be abandoned as a diagnostic process because the flow of the intravenous contrast is weak and the extravasation might not be identified [ 13 ]. Despite this, arteriography still remains a valuable tool for critically ill patients, because diagnosis and EVAR can be performed simultaneously and any pointless delay is avoided, something which is crucial for the patient in extremis [ 16 , 17 ]. The exact mechanism that leads to the creation of PAEF still remains poorly understood but it seems that the continuous pressure and erosion of the intestinal wall, combined with infection, is the main mechanism.…”

Section: Discussionmentioning

confidence: 99%

Primary aortoenteric fistula: is endovascular repair the prime option? A review of the literature

Kehagias¹,

Mulita²,

Lampropoulos³

et al. 2022

kitp

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Primary aortoenteric fistula (PAEF) is a rare entity that demands high clinical suspicion and efficient management in a limited time. The evolution of interventional radiology established endovascular repair (EVAR) as an attractive option. The English literature was searched using the PubMed database with the terms "primary aortoenteric fistula", "primary aortoduodenal fistula" or "aortoduodenal fistula", and "endovascular repair" in different combinations. Studies and original articles that described the role and the outcomes of EVAR for primary aortoenteric fistula were included. Fourteen articles with a total of 15 patients with primary aortoenteric fistula who were managed with EVAR were included in our literature review. PAEF is a rare and lethal entity that everyone should be aware of. EVAR is a salvage option and a valuable weapon in our armamentarium. Is EVAR really a "bridge to surgery" or is it the birth pangs of a minimally invasive definite treatment of PAEF?

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“…A case report demonstrated that metal stent placement in the third section of the duodenum led to aorto-duodenal fistula formation due to post-radiation duodenal strictures after a few years. 28 Although radiation therapy is not routinely used for pancreatic or metastatic cancers in this anatomical region, it is considered for certain patients with malignant duodenal obstructions near large vessels, such as the aorta. Therefore, the risk of delayed bleeding due to the formation of vascularenteric fistulas should be considered before SEMS placement.…”

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confidence: 99%

<p>Efficacy and Adverse Effects of Self-Expandable Metal Stent Placement for Malignant Duodenal Obstruction: The Papilla of Vater as a Landmark</p>

Wu¹,

Lee²,

Tsou³

et al. 2020

CMAR

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Self-expandable metal stents are used for malignant duodenal obstruction. Outcomes between stents placed above and below the papilla of Vater differ, and no study has investigated these differences. We evaluated the efficacy and adverse events of stent placement in these two locations and reported our experience with self-expandable metal stent placement in patients. Patients and Methods: We retrospectively analyzed the data of patients with unresectable metastatic cancers (n = 101), who underwent successful duodenal self-expandable metal stent placement between 2008 and 2018. Patients were divided into above and below the papilla of Vater groups. Patient demographics, technical and clinical outcomes, post-procedural morbidity, and stent patency were analyzed. Results: Overall, 71 and 30 patients had intestinal obstruction above (including the papilla itself) and below the papilla of Vater and underwent successful stenting. Common bile duct obstruction was more common in the above-papilla group. Procedure time was similar between the groups, if an appropriate endoscope could facilitate stent placement in the below-papilla group. Both groups achieved symptomatic relief. Median stent patency duration was not significantly different between the groups; three patients had severe gastrointestinal bleeding due to postoperative vascular-enteric fistula. Conclusion: Self-expandable metal stents can effectively relieve symptoms of duodenal obstructions located above and below the papilla of Vater. Duodenoscopes could facilitate stent placement if the obstruction is located below the papilla of Vater; if gastrointestinal bleeding occurs postoperatively, the possibility of vascular-enteric fistula formation should be considered.

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Successful Endovascular Treatment of Aortoenteric Fistula Secondary to Eroding Duodenal Stent

Cited by 17 publications

References 6 publications

Endovascular Management of Arterioenteric Fistulas: A Systemic Review and Meta-Analysis of the Literature

Endovascular Management of Arterioenteric Fistulas: A Systemic Review and Meta-Analysis of the Literature

Primary aortoenteric fistula: is endovascular repair the prime option? A review of the literature

<p>Efficacy and Adverse Effects of Self-Expandable Metal Stent Placement for Malignant Duodenal Obstruction: The Papilla of Vater as a Landmark</p>

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