Outcomes of secondary interventions after abdominal aortic aneurysm endovascular repair

Becquemin, Jean‐Pierre; Kelley, Lynne; Zubilewicz, T.; Desgranges, Pascal; Lapeyre, Matthieu; Kobeiter, H.

doi:10.1016/j.jvs.2003.09.043

Cited by 127 publications

(99 citation statements)

References 28 publications

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“…Previous studies have also described this problem (13). Excessive oversizing of the graft may lead to infolding of the graft material within the graft lumen (14,15).…”

Section: Discussionmentioning

confidence: 99%

Limb graft occlusion following endovascular aortic repair: Incidence, causes, treatment and prevention in a study cohort

Wang

Zhai

et al. 2017

Experimental and Therapeutic Medicine

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Abstract. The present study investigated the incidence, causes, treatment and prevention of limb graft occlusion following endovascular aortic repair (EVAR). A total of 66 cases of abdominal aortic aneurysm receiving EVAR at our department from January 2005 to December 2013 were enrolled. After EVAR, patients received routine antiplatelet therapy of 75 mg PLAVIX for 6 months and then 100 mg Aspirin for another 6 months by oral administration. According to previous clinical experiences, antiplatelet therapy is able to effectively reduce the incidence of iliac occlusion after EVAR. A total of 61 bifurcated grafts and 5 aortauniilac grafts (127 limbs in total) were used. Physical examination, ankle-brachial-index and computer tomographic angiography were performed at 10 days, at 3, 6 and 12 months and annually thereafter. It was found that 7 limbs in 7 patients (10.6% of patients, 5.5% of limbs) were occluded between 20 days and 12 months (average, 7.8±5.3 months) after EVAR. Acute and severe ischemia was found in 2 cases, claudication was in found 3 cases, asthenia in both legs was found in 1 case and 1 case was asymptomatic. Femoral-femoral bypass, femoral-femoral bypass and stenting, aorto-iliac/femoral bypass, thrombectomy and conservative treatment were performed in 1 patient each and thrombectomy together with stenting was performed in 2 cases. Limb graft occlusion was not rare after EVAR. Treatment of this complication included surgery and endovascular therapy such as bypass, thrombectomy and thrombolysis. In conclusion, aggressive pre-emptive treatment including angioplasty and stenting prevented occlusion in certain cases.

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“…Previous studies have also described this problem (13). Excessive oversizing of the graft may lead to infolding of the graft material within the graft lumen (14,15).…”

Section: Discussionmentioning

confidence: 99%

Limb graft occlusion following endovascular aortic repair: Incidence, causes, treatment and prevention in a study cohort

Wang

Zhai

et al. 2017

Experimental and Therapeutic Medicine

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“…[3][4][5][6][7][8][9][10][11] Furthermore, the development of devices, expansion of indications, and improved clinical results with regard to EVR are anticipated. Particularly in the case of thoracic aortic diseases, EVR offers the theoretical advantage of being minimally invasive compared with conventional open surgery under cardiopulmonary bypass.…”

Section: Discussionmentioning

confidence: 99%

“…The initial and midterm results for repair using these handmade SGs for thoracic and abdominal aortic diseases in high-risk patients are considered to be satisfactory. [3][4][5][6][7][8][9][10][11][24][25][26][27][28][29][30] However, endoleaks were the reason for poor initial results, whereas the reason for poor midterm results was migration. Furthermore, all endoleaks and migrations occurred during our early phase of surgeries using flexible SGs that were designed on the basis of a concept identical to the commercially available SGs wherein 1 device can be used to treat various aortic contours.…”

Section: Discussionmentioning

confidence: 99%

Initial and Midterm Results for Repair of Aortic Diseases With Handmade Stent Grafts

Onitsuka

Tanaka

Akashi

et al. 2006

Circ J

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“…In addition, reintervention is often required at a rate that is higher than that of OSR. 103 In fact, Becquemin et al 9 found that 27% of patients who underwent EVAR required a secondary procedure (mean follow-up was 28 months). Another issue is that hospital and physician times are required post-operatively to insure the integrity of the stent graft.…”

Section: Eurostar Registrymentioning

confidence: 99%

AAA Stent–Grafts: Past Problems and Future Prospects

et al. 2010

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Endovascular aneurysm repair (EVAR) has quickly gained popularity for infrarenal abdominal aortic aneurysm repair during the last two decades. The improvement of available EVAR devices is critical for the advancement of patient care in vascular surgery. Problems are still associated with the grafts, many of which can necessitate the conversion of the patient to open repair, or even result in rupture of the aneurysm. This review attempts to address these problems, by highlighting why they occur and what the failings of the currently available stent grafts are, respectively. In addition, the review gives critical appraisal as to the novel methods required for dealing with these problems and identifies the new generation of stent grafts that are being or need to be designed and constructed in order to overcome the issues that are associated with the existing first- and second-generation devices.

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Outcomes of secondary interventions after abdominal aortic aneurysm endovascular repair

Cited by 127 publications

References 28 publications

Limb graft occlusion following endovascular aortic repair: Incidence, causes, treatment and prevention in a study cohort

Limb graft occlusion following endovascular aortic repair: Incidence, causes, treatment and prevention in a study cohort

Initial and Midterm Results for Repair of Aortic Diseases With Handmade Stent Grafts

AAA Stent–Grafts: Past Problems and Future Prospects

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