Redo-EVAR After Surgical Repair in Ruptured Abdominal Aortic Aneurysm

Bozok, Şahin; Karakişi, Sedat Ozan; Ergene, Şaban; Tüfekçi, Nebiye; İlhan, Gökhan; Karamustafa, Hakan

doi:10.15171/jcvtr.2015.38

Cited by 1 publication

(2 citation statements)

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“…Complications of endoleak, such as stent graft migration, stent fracture, dilation, or other aneurysms of the aortoilliac segment, require long-term follow-up of the patient, and secondary interventions are required in approximately 15% to 20% of patients. in most hospitals and in ours as well [3].…”

Section: Discussionsupporting

confidence: 63%

“…Today, EVAR is a relatively safe and effective treatment of infrarenal AAA and it is considered to be the first choice therapy in patients with favorable morphology and poor health status unsuitable for open surgery. However, none of the currently available devices is completely effective in preventing rupture of aneurysm after EVAR [3], and it is also necessary to control these grafts and aneurysms for life. The goal of this paper was to substantiate this in regard to the occurrence of late ruptures.…”

Section: Introductionmentioning

confidence: 99%

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Ruptured abdominal aortic aneurysm after endovascular repair

2018

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Introduction. An aneurysm is a localized, permanent dilation of an arterial blood vessel with a diameter greater than 50% of the usual diameter for that aortic segment. It is treated with endovascular stent graft placement or open surgery. Endovascular stent grafting of the abdominal aorta has become popular as an elective treatment. but one of the complications is increased aneurysm diameter that may lead to rupture. Case Series. This case series reviews open reconstructive surgery of ruptured abdominal aortic aneurysms in three patients treated with endovascular repair. The diameter of the aneurysm increased due to endoleak or stent graft migration, leading to rupture. Due to the inability to extract the stent graft in two patients, the graft was transversely cut at the proximal part, where upper anastomosis was created using a Dacron graft prosthesis. Conclusion. Regular annual controls for the rest of patients lives are of great importance in order to avoid fatal complications after endovascular aneurysm repair. One of the methods after the abdominal aortic rupture after endovascular stent graft treatment that significantly shortens the duration of the surgery and gives a more stable upper anastomosis, is transverse stent graft cut in the proximal part. Complete prevention remains a challenge because a rupture may occur even if the abnormalities are not evident. The ultimate goal is to increase the survival rate after the ruptured abdominal aortic aneurysm.

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Section: Discussionsupporting

confidence: 63%

Section: Introductionmentioning

confidence: 99%