Aortoesophageal Fistula Successfully Treated by Endovascular Stent-Graft

Outcome after endovascular stent graft repair of aortoenteric fistula: A systematic review

“…In 8 patients (19.51%) the endovascular management of the AEF was accompanied by repair of the contributing part of the gastrointestinal tract (fistula occlusion) with endoscopic, endovascular, or open surgical procedures; in one case a fibrin sealant was injected in the fistula tract endoscopically, 34 in another case the fistula was catheterized under angiographic control and was injected with N-butyl 2-cyanocrylate, 37 and in the remaining six cases the communication between the aorta and the bowel lumen was interrupted through a laparotomy or thoracotomy. 23,24,29,31,32,39 Adjunctive procedures other than fistula occlusion included diverting iliostomy, 41 CT-guided drainage of aortic sac, 41 psoas abscess drainage, 16 coilembolization of the aortic bifurcation, 28 and balloon dilatation of the stent graft to treat leakage. 45 Life-long antibiotic therapy postoperatively was reported to have been given to 18 patients (43.90%).…”

Diagnosis and treatment of 32 cases with aortoesophageal fistula due to esophageal foreign body

“…Several types of treatment have been described including percutaneous embolization, the use of a Sengstaken-Blakemore tube, and open surgery as well as endovascular treatment. [5][6][7] Despite different strategies for treatment, there is little consensus about the optimal management of the condition. Here, we present our experience in the diagnosis and treatment of patients with AEF.…”

Emergency repair of a radiation-induced aortoesophageal fistula with endograft: Report of a case

“…29 There is no standardized antibiotic regimen. 22,[30][31][32] Still, several authors have reported that AEFs treated with endovascular stents revealed no signs of local or systemic infection. 32,33 Nishibe et al reported the longest durability of a stent without any sign of infection for more than 3 years.…”