Endoluminal Aortic Aneurysm Repair Using a Balloon-Expandable Stent-Graft Device: A Progress Report

Parodi, Juan C.; Criado, Frank J.; Barone, Héctor D.; Schönholz, Claudio; Queral, Luis A.

doi:10.1007/bf02017407

Cited by 89 publications

(28 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Since its original report nearly 2 decades ago, 6 technologic al advances have allowed EVAR to become the most common method of treating abdominal aortic aneurysms in many centres worldwide. Although initially introduced in higher risk individuals, it is now being used in average risk patients with good short-term and acceptable longerterm outcomes in randomized trials.…”

Section: Discussionmentioning

confidence: 99%

Late conversion of endovascular to open repair of abdominal aortic aneurysms

Forbes

Harrington

Harris

et al. 2012

cjs

View full text Add to dashboard Cite

Background: Failure of endovascular repair (EVAR) of an abdominal aortic aneurysm can result in significant risk of morbidity and mortality. We review our experience with late conversions to open repair. Methods:We conducted a retrospective database review to identify all EVAR proced ures performed between 1997 and 2010 and the number converted to open repair at our university-affiliated medical centre. Late conversion was defined as those occurring at least 30 days after initial EVAR. Results:In all, 892 EVARs took place during the study period. Six patients (0.7%) required late conversion to open repair. Their mean age was 71 (range 58-83) years, and half were women. Half of the initial EVARs were for ruptured aneurysms. The median time to conversion was 15.6 (range 1.7-61.3) months. Indications for secondary conversion (50% urgent, 50% elective) included persistent type I endoleak (n = 3), combined type II and III endoleak (n = 1), graft thrombosis (n = 1) and aneurysm rupture (n = 1). Supraceliac clamping was required in most patients (67%), and the mean transfusion requirement was 2.6 units. Total endograft explantation occurred in 2 patients (33%), whereas partial or total endograft preservation occurred in 4 (67%). Median length of stay in hospital after conversion was 7 (range 6-73) days. There were no instances of early or in-hospital mortality following conversion. Conclusion:Our EVAR experience includes a low rate of late conversion to open repair, with most conversions being a result of persistent aneurysm perfusion. Although technically challenging, late conversion can be safe. Our experience supports ongoing surveillance after EVAR.

show abstract

Section: Discussionmentioning

confidence: 99%

Late conversion of endovascular to open repair of abdominal aortic aneurysms

Forbes

Harrington

Harris

et al. 2012

cjs

View full text Add to dashboard Cite

show abstract

“…There is a sizable and rapidly growing experience in using covered stents to treat aneurysms of the aorta and iliac arteries, including several large clinical trials [13][14][15][16][17]. The use of stent grafts for applications other than aortoiliac disease is more limited but quite varied: stent grafts have been successfully used to treat popliteal artery bypass graft pseudoaneurysm [18], post-angioplasty pseudoaneurysm [19], and renal artery [20], internal iliac [21], carotid artery [15], and subclavian artery [22] aneurysms.…”

Section: Discussionmentioning

confidence: 98%

“…However, the largest published clinical series utilizing stent grafts to treat abdominal aortic aneurysms have shown that it is a safe and effective technique in selected patient groups [14][15][16]22].…”

Section: Discussionmentioning

confidence: 98%

“…Complications reported with the clinical use of stent grafts to treat aneurysms include stent leak [15], vessel leak [23], and continued aneurysm expansion [16]. However, the largest published clinical series utilizing stent grafts to treat abdominal aortic aneurysms have shown that it is a safe and effective technique in selected patient groups [14][15][16]22].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Transluminal Treatment of a Celiac Artery Pseudoaneurysm with a Stent Graft Occlusion Device

Glickerman

Hathaway

Hatsukami

et al. 1997

Cardiovasc Intervent Radiol

View full text Add to dashboard Cite

show abstract

“…Starting from the first interventions more than 20 years ago [4], technological advances have allowed EVAR to become the most common method to treat infrarenal abdominal aortic aneurysm with good short term and acceptable long term outcomes, as reported in literature [1]. Despite technological advances, a fair percentage of patients need further treatment following EVAR and this is the reason why lifelong radiographic surveillance is mandatory after this kind of procedure [5].…”

Section: Discussionmentioning

confidence: 99%