Aorto‐enteric fistula following endoluminal abdominal aortic aneurysm repair

French, James; Simring, Dominc V.; Merrett, Neil D.; Thursby, Peter

doi:10.1111/j.1445-1433.2004.03000.x

Cited by 19 publications

(15 citation statements)

References 15 publications

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“…8 Only two other AEFs have been reported without any antecedent complications after EVAR (Table). 9,10 The aortoduodenal fistula in our case was not associated with an endoleak, graft migration, or increase in aortic sac size during 5-year surveillance postoperatively. Even after careful retrospective review of the five surveillance studies, there was no evidence of endoleak or graft abnormalities.…”

Section: Discussionmentioning

confidence: 71%

Aortoduodenal fistula 5 years after endovascular abdominal aortic aneurysm repair with the Ancure stent graft

Ruby

Cogbill

2007

Journal of Vascular Surgery

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We report a case of aortoduodenal fistula 5 years after uncomplicated endovascular abdominal aortic aneurysm repair. The diagnosis was confirmed by abdominal computed tomography scan and esophagogastroduodenoscopy. The patient was successfully treated with primary duodenal repair, removal of the infected graft, in situ placement of a bifurcated graft, and omental interposition. Review of the literature identifies this as one of very few documented aortoduodenal fistulas after endovascular aneurysm repair. Fistulization occurred despite accurate stent graft placement without migration, endoleak, or aortic sac size enlargement on annual postoperative imaging studies.

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Section: Discussionmentioning

confidence: 71%

Aortoduodenal fistula 5 years after endovascular abdominal aortic aneurysm repair with the Ancure stent graft

Ruby

Cogbill

2007

Journal of Vascular Surgery

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“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] Clinical suspicion remains the sine qua non of making this diagnosis due to its relative rarity and lack of a definitive diagnostic modality.…”

Section: Discussionmentioning

confidence: 99%

Primary aortoenteric fistula following endovascular aortic repair due to type II endoleak

McPhee

Soybel

Oram³

et al. 2011

Journal of Vascular Surgery

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An 84-year-old female was lost to follow-up after endovascular aneurysm repair at another hospital with known type II endoleak. She later presented with presyncope and hematemesis. A referral center esophagogastroduodenoscopy showed possible duodenal diverticulum. She had recurrent symptoms and repeat computed tomography scan showed air within the aortic sac. At our center, she underwent stent graft explantation and axillofemoral reconstruction for a primary aortoenteric fistula. She was discharged and is doing well 5 months postoperatively. A high degree of suspicion for aortoenteric fistula is imperative in any patient with upper gastrointestinal hemorrhage after open or endovascular abdominal aortic aneurysm repair.

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“…86,109,128 Graft migration has been shown to occur with infrarenal fixation and is thought to relate to aneurysm neck length, aneurysm neck and device apposition zone length, and distal device support within the iliac system. 10,49,100,112,128 Fogarty et al 47 reported an incidence of 8% at 5 years, suggesting low deployment of the device below renal arteries as the most important predictor of subsequent migration. For each millimeter increase in the distance between renal arteries and the top of the stent-graft on postdeployment CT scans, the risk of migration increased by 6%.…”

Section: Type I and Migrationmentioning

confidence: 97%

“…2,4,12,64,90,116 However, EVAR patients are not immune to the development of ADF and a small number of cases have been reported in the literature. 2,4,12,42,49,51,83,90,96,105,111,116 The exact cause for the development of ADF following EVAR remains unclear. A strong hypothesis is that local infection, which could be secondary to the grafting procedure or pre-existent (EVAR done for mycotic aneurysms) could result in intestinal necrosis and the formation of a fistula between the aneurysm and the intestinal wall.…”

Section: Aortoduodenal Fistulasmentioning

confidence: 99%

AAA Stent–Grafts: Past Problems and Future Prospects

et al. 2010

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Endovascular aneurysm repair (EVAR) has quickly gained popularity for infrarenal abdominal aortic aneurysm repair during the last two decades. The improvement of available EVAR devices is critical for the advancement of patient care in vascular surgery. Problems are still associated with the grafts, many of which can necessitate the conversion of the patient to open repair, or even result in rupture of the aneurysm. This review attempts to address these problems, by highlighting why they occur and what the failings of the currently available stent grafts are, respectively. In addition, the review gives critical appraisal as to the novel methods required for dealing with these problems and identifies the new generation of stent grafts that are being or need to be designed and constructed in order to overcome the issues that are associated with the existing first- and second-generation devices.

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Aorto‐enteric fistula following endoluminal abdominal aortic aneurysm repair

Cited by 19 publications

References 15 publications

Aortoduodenal fistula 5 years after endovascular abdominal aortic aneurysm repair with the Ancure stent graft

Aortoduodenal fistula 5 years after endovascular abdominal aortic aneurysm repair with the Ancure stent graft

Primary aortoenteric fistula following endovascular aortic repair due to type II endoleak

AAA Stent–Grafts: Past Problems and Future Prospects

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