Endovascular versus open surgical repair of abdominal aortic aneurysm with concomitant malignancy

Abstract

With low morbidity and mortality, EVAR is a safe technique for the treatment of AAA in patients with concomitant malignancy and could be considered as an alternative to OR.

Two-stage Surgery for Endovascular Repair and Laparoscopic Colectomy for a Patient with Abdominal Aortic Aneurysm and Concomitant Colon Cancer: Report of a Case

“…To date, there was only one study comparing the both methods for such patients, in which the outcome of EVAR and open repair of AAA was retrospectively assessed in twenty-five patients undergoing curative treatment of concomitant malignancies. 10) They reported a lower morbidity and mortality in EVAR than open repair, but recommended performing another study in a larger series to definitely conclude the superiority of EVAR. Therefore, a prospective and randomized control study should be performed to determine the superiority of EVAR compared to open surgery as well as clarifying whether one stage or two-stage strategy would be optimal for patients with AAA and concomitant malignancy.…”

Simultaneous Endovascular Aneurysm Repair and Distal Gastrectomy in a Patient with Concomitant Abdominal Aortic Aneurysm and Advanced Gastric Cancer

“…This modality offers potential treatment benefits in patients with suitable anatomy who have concomitant gastrointestinal malignancy. [8][9][10] Herald et al first reported the case of synchronous AAA and colorectal cancer treated entirely by minimally invasive surgery without laparotomy. 11) Since then, several reports have been described simultaneous EVAR and abdominal cancer resection.…”

Concomitant Abdominal Aortic Aneurysm and Malignancy: Simultaneous Minimally Invasive Repair

“…Cancer resection was carried out following the main oncological principles (no touch techniques and vessels legation at their origins). With the availability of laparoscopic surgery, as well as other minimally invasive therapies such as cryoablation for conditions including renal lesions, endovascular aortic repair (EVAR) nowadays represents an attractive alternative treatment modality with a less traumatic strategy (Porcellini et al, 2007). In addition to the management of primary AAAs, late sequelae of traditional repair such as anastomotic aneurysm, can also be addressed.…”

“…The Authors concluded that EVAR of either an aneurysm or other aortic pathology in patients with an associated malignancy can be performed safely, but remains an individualized option with a multidisciplinary team necessary to explore this type of approach. The advantage of EVAR repair in patients with different (colon-rectum, bladder, pancreas, esophagous, prostate, kidney) concomitant abdominal malignancy was finally highlighted in a recent report by Porcellini et al who compared 14 patients undergoing conventional open AAA repair vs. 11 patients who received endografting (Porcellini et al, 2007). Among those who received conventional open repair, 7 patients had simultaneous operations, with operative mortality and aortic graft infection rates of 14% and 14%, respectively.…”