2014
DOI: 10.1016/j.jtcvs.2014.01.018
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Combined endovascular and surgical approach for aortobronchial fistula

Abstract: Emergency TEVAR for an aortobronchial fistula is an appealing strategy for this devastating complication. However, to achieve a lasting result, direct contact between the stent graft and the pulmonary tissue should be avoided to prevent further erosive damage. Concomitant or staged repair should entail primary repair or resection and anastomosis of the bronchus and/or pulmonary resection with coverage of the stent graft using muscle or pleural flaps combined with broad-spectrum intravenous antibiotic therapy. … Show more

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Cited by 39 publications
(36 citation statements)
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“…Acceptable results have been described after treatment of ABF or APF by TEVAR, with the risk of delayed recurrent fistula or persistent infection, despite EG coverage with a muscle or pleural flap. 124,125 In the EuREC report, 15 patients presented with ABF, predominantly on the left side (n ¼ 14/15) and 11 with APF of 4 680 TEVAR procedures. In half of the patients, external compression, mostly due to presence of an endoleak, was considered to be the responsible mechanism.…”
Section: Thoracic Vascular Graft or Endograft Infection With Airway Fmentioning
confidence: 99%
See 1 more Smart Citation
“…Acceptable results have been described after treatment of ABF or APF by TEVAR, with the risk of delayed recurrent fistula or persistent infection, despite EG coverage with a muscle or pleural flap. 124,125 In the EuREC report, 15 patients presented with ABF, predominantly on the left side (n ¼ 14/15) and 11 with APF of 4 680 TEVAR procedures. In half of the patients, external compression, mostly due to presence of an endoleak, was considered to be the responsible mechanism.…”
Section: Thoracic Vascular Graft or Endograft Infection With Airway Fmentioning
confidence: 99%
“…129 In patients fit for surgery, EG removal and in situ vascular repair should be considered. 125,126,130…”
Section: Open Surgical Treatmentmentioning
confidence: 99%
“…Vasküler yapılar tüp greft ya da parça şeklinde rezeke edilebilir, sentetik ya da organik dokularla tamir edilebilirler (30). Kardiyak T4'lerde lezyon sıklıkla sol atriyuma invazedir.…”
Section: Vasküler-kardi̇yak T4 Tümörler Ve Akci̇ğer Hastaliklariunclassified
“…Canaud and colleagues reported the replacement of an infected thoracic stent graft (which caused severe mediastinitis) with a silver-coated tube graft in a re-operation for an aortobronchial fistula [39]. The replacement of infected traditional vascular prostheses with a wide range of silvercoated grafts is seeing increased use, but further studies are needed to compare the rates of SSI recurrence [34].…”
Section: Vascular Surgerymentioning
confidence: 99%