Endovascular repair of bleeding aortoenteric fistulas: A 5-year experience

Abstract

Endovascular management of AEFs is technically feasible and may be the preferred treatment in select patients with bleeding and no signs of sepsis. In the setting of gross infection, it may also be considered in high-risk patients as a bridge to more definitive treatment after hemodynamic stabilization and optimization.

Definitive Treatment for Aortoesophageal Fistula by Endovascular Stent Graft

“…Some surgeons, such as Burks, Pirard, Topel, and others [5][6][7], consider repairing aortic defect of AEF by endovascular stent should be seemed as a transitional measure before definitive open surgery. Or even, Prokakis et al suppose that endovascular stent grafting should be limited only to patients who are at high risk for open surgical repair [8].…”

Aortoesophageal fstula: A case misdiagnosed as esophagealpolyp

“…In recent years, endovascular stent grafting has been used as an alternative to surgical treatment, but it has some limitations such as AEF remaining as it is, insufficient debridement or drain of mediastinum. Therefore, some authors suggested that an endovascular stent graft should only be used in patients with a high risk of open surgery [2,6] . Since 2005, Pirard et al [7,8] have attempted to combine endovascular with open surgical approach, which brings more hope to decrease the mortality of AEF.…”

Is it Possible to Treat Aorto-Esophageal Fistula with Endovascular Management?

“…Successful endovascular therapy for aorto-esophageal fistula has been reported. 1,2) We present one case in which the diagnosis was AEF, and in which endovascular therapy for the diseased thoracic aorta was performed successfully. However, since unfavorable management of the diseased esophagus results in high morbidity, we needed subsequent aortic bypass surgery to exclude the infected thoracic aorta and repair the esophagus later.…”