Delayed rupture of aortic aneurysms following endovascular stent grafting

American Journal of Surgery
A B LumsdenJ J Castronuovo

Abstract

Deployment of transfemoral, endovascular stent grafts for treatment of abdominal aortic aneurysms is appealing for several reasons: avoidance of abdominal incision, lack of aortic cross-clamping, potential for regional anesthesia, and shortened hospital stay. Concerns remain, however, regarding the ability of these devices to completely exclude the aneurysm and prevent aneurysm rupture and the long-term integrity of the device. The availability of endografts and the likely development of percutaneous devices have also raised the delicate issue of personnel training for patient selection, endograft implantation, and postoperative follow-up. The cases of 2 patients are reported in which Dacron endovascular grafts, anchored proximally and distally by Palmaz stents, were deployed for treatment of infrarenal abdominal aortic aneurysms. In a patient with and absent distal cuff, choosing this procedure represented a clear error in patient selection. The endograft failed to reach the aortic bifurcation and the aneurysm ruptured, with the death of the patient 4 months postimplantation. In a patient with anatomy suitable for endograft placement, a perigraft leak persisted at the distal anastomosis following device placement. The aneurysm...Continue Reading

References

Jul 1, 1992·Radiology·J C LabordeJ C Palmaz
May 1, 1991·Journal of Vascular and Interventional Radiology : JVIR·G J BeckerB T Katzen
Nov 1, 1991·Annals of Vascular Surgery·J C ParodiH D Barone
May 1, 1987·Radiology·D D LawrenceS Wallace
Oct 1, 1988·AJR. American Journal of Roentgenology·T YoshiokaC Gianturco
Apr 1, 1986·The Journal of Surgical Research·A BalkoB T Jackson
Apr 1, 1995·Journal of Vascular Surgery·J C Parodi
Jun 1, 1993·Radiology·A H Cragg, M D Dake

❮ Previous
Next ❯

Citations

Aug 10, 2000·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·M S Khan, J W Moore
Sep 18, 1999·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·D M MoskowitzL H Hollier
Apr 29, 1998·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Y SeoT Mizushima
May 21, 2008·Cardiovascular and Interventional Radiology·Domenico LaganàCarlo Fugazzola
Nov 26, 2010·Cardiovascular and Interventional Radiology·Peter A NaughtonMark K Eskandari
Jul 20, 1999·The Surgical Clinics of North America·J S Matsumura, W H Pearce
Jan 19, 1999·The Surgical Clinics of North America·M D'AyalaM L Marin
Aug 15, 1998·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·T A ChuterL M Messina
Jul 8, 1999·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·T Ohki, F J Veith
Jan 22, 2002·Journal of the American College of Surgeons·Juan C Parodi, Luis M Ferreira
Jun 11, 1999·The British Journal of Surgery·G W SchurinkJ H van Bockel
Jun 11, 2002·Journal of Interventional Cardiology·F R ArkoT J Fogarty
Mar 24, 1998·Annual Review of Medicine·G S Treiman, V M Bernhard
Feb 1, 1996·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·G H WhiteJ May
May 1, 1997·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·G H WhiteM S Stephen
Aug 1, 1997·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·P HeilbergerD Raithel
Aug 1, 1997·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·P L FariesF J Veith
Aug 1, 1997·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·G van SchieM Khangure
Jun 20, 1998·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·G H WhiteW Yu
Oct 7, 1998·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·B SonessonJ Brunkwall
Oct 7, 1998·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·M MalinaB Risberg
Dec 29, 1998·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·G H WhiteW Yu
Mar 24, 1999·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·P HarrisD White
Sep 3, 1999·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·J GörichR Scharrer-Pamler
Sep 24, 1999·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·G D TreharneP R Bell
Jul 13, 2000·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·G H WhiteJ Harris
Jul 7, 2000·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·C D SchunnD Raithel
Aug 25, 2000·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·R A WhiteM Stewart
May 19, 2001·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·V G RamaiahE B Diethrich
Sep 13, 2001·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·B V CzermakW R Jaschke
Nov 23, 2001·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·B RisbergL Lönn
Apr 18, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Dittmar BöcklerDieter Raithel
May 16, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Jean-Pierre BecqueminPascal Desgranges
Nov 15, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·John P PacanowskiMitchell H Goldman
May 20, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Lip Gen TehKishore Sieunarine
Aug 23, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Eleftherios S XenosMitchell H Goldman
Aug 1, 2000·AJR. American Journal of Roentgenology·J A KaufmanA C Waltman
Apr 18, 2009·Srpski arhiv za celokupno lekarstvo·Lazar DavidovićSlobodan Cvetković
Nov 11, 1999·Radiographics : a Review Publication of the Radiological Society of North America, Inc·M TillichD H Szolar
May 23, 2007·Radiology·S William Stavropoulos, Sridhar R Charagundla

❮ Previous
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