Endovascular Repair in the Presence of Aortic Infection

González-Fajardo, J.A.; Gutiérrez, Vicente Guilarte; Martín-Pedrosa, M.; Río, Lourdes Del; Carrera, S.; Vaquero, Carlos

doi:10.1007/s10016-004-0144-0

Cited by 88 publications

(45 citation statements)

References 17 publications

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“…When patients present with rupture or have fever, the EVAR method should be considered as a temporary measure to achieve hemodynamic stability. [63][64][65][66][67] Additionally, if the fever persists after the EVAR, This would be an indication to keep the patient on long-term broad-spectrum antibiotics for a long-term until a definite surgical treatment is considered. However, further multi institutional and registry data are required to clarify the long-term outcomes of EVAR and to determine whether EVAR use in infected aortic aneurysms is as effective as or better than standard operation.…”

Section: Endovascular Treatmentmentioning

confidence: 99%

Infected Aneurysm

Laohapensang

Rutherford

Arworn

2010

Annals of Vascular Diseases

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Section: Endovascular Treatmentmentioning

confidence: 99%

Infected Aneurysm

Laohapensang

Rutherford

Arworn

2010

Annals of Vascular Diseases

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“…6 The indications for EVSG in the treatment of infected aneurysm are controversial. [7][8][9] The aneurysm in our patient may have developed as a consequence of colonization of the aortic wall by endoabdominal bacterial infection during the rectal operation. In fact, the preoperative CT scan showed abnormal protrusion of the AAA even though the patient did not have a fever or elevated WBC counts or CRP levels.…”

Section: Discussionmentioning

confidence: 86%

Aortoenteric Fistula After Endovascular Stent Grafting for an Abdominal Aortic Aneurysm: Report of a Case

et al. 2006

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We report a case of an aortoenteric fistula (AEF) developing after endovascular stent grafting (EVSG) for an abdominal aortic aneurysm (AAA). A 69-year-old male patient with a history of panperitonitis caused by rectal perforation underwent EVSG for an AAA. A follow-up contrast-enhanced computed tomography (CT) scan, done 12 months after the EVSG, confirmed shrinkage of the AAA with no endoleak. However, 19 months postoperatively, an AEF developed between the AAA and the jejunum. Although there was no endoleak on a subsequent CT scan, we noted enlargement of the AAA and inflammatory changes in the surrounding tissue. The patient was treated surgically and discharged in good health 74 days postoperatively. Thus, one should consider the possibility of this devastating complication, even in patients without an endoleak, after EVSG for AAA.

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“…Although several cases of aortobronchial and aortopulmonary fi stulae have been successful treated with stent grafting, 8,9 late failures due to recurrent infection also have been described in an aortoenteric fi stula. 10,11 Stent grafting could present a useful bridging therapy for temporary hemostasis, but it is doubtful that this modality can be used as a defi nitive treatment in a condition that is often associated with abundant bacteria.…”

Section: Discussionmentioning

confidence: 98%

Successful Treatment of an Aorto-Ileal-Conduit Fistula with an Endovascular Stent Graft: Report of a Case

et al. 2007

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A 55-year-old man presented with a massive hemorrhage from the ileal conduit of the left ureter. He had previously undergone a total pelvic exenteration with ileal conduit construction of the ureters due to rectal carcinoma. A right ureteroarterial fi stula developed, and he underwent an excision of the right common iliac artery with a femorofemoral bypass and a right cutaneous ureterostomy. Seven months later, a pseudoaneurysm developed at the aortic stump, followed by an aorto-ileal-conduit fi stula. The patient was treated successfully with endovascular stent grafting and has since showed a good recovery no sign of graft infection or a recurrence of hematuria at the 10-month follow-up.

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Endovascular Repair in the Presence of Aortic Infection

Cited by 88 publications

References 17 publications

Infected Aneurysm

Infected Aneurysm

Aortoenteric Fistula After Endovascular Stent Grafting for an Abdominal Aortic Aneurysm: Report of a Case

Successful Treatment of an Aorto-Ileal-Conduit Fistula with an Endovascular Stent Graft: Report of a Case

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