Successful Delayed Secondary Open Conversion After Endovascular Repair Using Partial Explantation Technique: A Single-Center Experience

Gambardella, Ivancarmine; Blair, Paul; McKinley, A.; Makar, Ragai R.; Collins, Anton; Ellis, Peter; Harkin, Denis W.

doi:10.1016/j.avsg.2009.12.004

Cited by 34 publications

(22 citation statements)

References 31 publications

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“…This is in contrast to recent reports that suggested that OC after EVAR can be performed safely with low morbidity and no mortality, irrespective of acuity. 4,8 However, each study only had one patient who presented with rupture, and most OCs were elective. In the present study, only 43% of patients underwent elective OC, and the mortality rate in that subgroup was 5%, comparable to the perioperative mortality after primary elective open AAA repair.…”

Section: Discussionmentioning

confidence: 99%

“…[4][5][6][7][8] The results of open conversions (OCs) for aneurysm repair after EVAR are limited to case series, and comparison of outcomes is difficult due to heterogeneous indications and treatment strategies. This study reports a single center's experience with delayed (Ͼ30 days) OC after EVAR.…”

Section: Conclusion: Most Ocs After Evar Are Associated With Signifimentioning

confidence: 99%

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Delayed open conversions after endovascular abdominal aortic aneurysm repair

Chaar

Eid

Park

et al. 2012

Journal of Vascular Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Conclusion: Most Ocs After Evar Are Associated With Signifimentioning

confidence: 99%

Delayed open conversions after endovascular abdominal aortic aneurysm repair

Chaar

Eid

Park

et al. 2012

Journal of Vascular Surgery

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“…Although a few authors have described late conversions as those that require a second anesthetic following the initial EVAR, 5 most define it as conversions occurring more than 30 days beyond the initial endovascular repair. [1][2][3][4][8][9][10] This more common definition of late conversion was used in the present study.…”

Section: Discussionmentioning

confidence: 99%

“…Classically in these cases the infrarenal aorta is oversewn and the lower extremities are revascularized with an axillobifemoral bypass. 8 This is an infrequent indication for open conversion, 1 and we have not experienced such a case. Although these principles are described regarding the proximal component of the endografts, they can be similarly applied to the distal iliac limbs.…”

Section: Researchmentioning

confidence: 99%

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Late conversion of endovascular to open repair of abdominal aortic aneurysms

Forbes

Harrington

Harris

et al. 2012

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Background: Failure of endovascular repair (EVAR) of an abdominal aortic aneurysm can result in significant risk of morbidity and mortality. We review our experience with late conversions to open repair. Methods:We conducted a retrospective database review to identify all EVAR proced ures performed between 1997 and 2010 and the number converted to open repair at our university-affiliated medical centre. Late conversion was defined as those occurring at least 30 days after initial EVAR. Results:In all, 892 EVARs took place during the study period. Six patients (0.7%) required late conversion to open repair. Their mean age was 71 (range 58-83) years, and half were women. Half of the initial EVARs were for ruptured aneurysms. The median time to conversion was 15.6 (range 1.7-61.3) months. Indications for secondary conversion (50% urgent, 50% elective) included persistent type I endoleak (n = 3), combined type II and III endoleak (n = 1), graft thrombosis (n = 1) and aneurysm rupture (n = 1). Supraceliac clamping was required in most patients (67%), and the mean transfusion requirement was 2.6 units. Total endograft explantation occurred in 2 patients (33%), whereas partial or total endograft preservation occurred in 4 (67%). Median length of stay in hospital after conversion was 7 (range 6-73) days. There were no instances of early or in-hospital mortality following conversion. Conclusion:Our EVAR experience includes a low rate of late conversion to open repair, with most conversions being a result of persistent aneurysm perfusion. Although technically challenging, late conversion can be safe. Our experience supports ongoing surveillance after EVAR.

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Seventeen Years’ Experience of Late Open Surgical Conversion after Failed Endovascular Abdominal Aortic Aneurysm Repair with 13 Variant Devices

et al. 2014

Cardiovasc Intervent Radiol

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Successful Delayed Secondary Open Conversion After Endovascular Repair Using Partial Explantation Technique: A Single-Center Experience

Cited by 34 publications

References 31 publications

Delayed open conversions after endovascular abdominal aortic aneurysm repair

Delayed open conversions after endovascular abdominal aortic aneurysm repair

Late conversion of endovascular to open repair of abdominal aortic aneurysms

Seventeen Years’ Experience of Late Open Surgical Conversion after Failed Endovascular Abdominal Aortic Aneurysm Repair with 13 Variant Devices

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