Infective etiology affects outcomes of late open conversion after failed endovascular aneurysm repair

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Danilo MennaFrancesco Speziale

Abstract

To retrospectively review all patients undergoing late open conversion (LOC) after endovascular aneurysm repair (EVAR) in order to identify any clinical or technical predictors of poor outcome. Twenty-six consecutive patients (24 men; mean age 74.7 ± 8.3 years) underwent LOC between June 2006 and April 2013 at our institution. The mean interval from index EVAR to LOC was 40.4 ± 29.2 months (range 5-93 months). The indication for LOC was endoleak in 14 (54%) patients and infection in 12 (46%): 2 (8%) patients with endoleak had a ruptured aneurysm and 6 (23%) patients with infection had a recurrent secondary aortoesophageal fistula (sAEF). In all 12 cases of infection and in 12 of 14 endoleaks, the entire endograft was explanted. A rifampin-soaked Dacron silver graft was implanted in all patients with infection. Patients with any infection and with recurrent AEF required more blood units than patients with endoleak (6.40 vs. 1.86, p = 0.045; 6.76 vs. 1.86, p = 0.0036, respectively). Compared with endoleak, the duration of conversions in the setting of infection (274 vs. 316 minutes, p = 0.42) and recurrent sAEF (274 vs. 396 minutes, p = 0.021) was longer. All patients with recurrent sAEF died at a mean 3.0 ± 2.5 days after LOC fr...Continue Reading

References

Aug 1, 1990·European Journal of Vascular Surgery·D W England, M H Simms
Aug 1, 1983·American Journal of Surgery·D M ShahA M Karmody
Feb 1, 1997·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·F SpezialeP Fiorani
Jul 1, 1997·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J MayJ P Harris
Feb 19, 1998·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M C ThallerF Speziale
Feb 19, 1998·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P FioraniD Lauri
Jan 23, 1999·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·F SpezialeM Rossi
Nov 7, 1999·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J MayJ P Harris
Feb 21, 2002·Journal of Vascular Surgery·Jeffrey P CarpenterRonald M Fairman
May 24, 2003·Journal of Vascular Surgery·Peter L FariesMichael L Marin
Dec 6, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Paolo FioraniMaria Fabrizia Giannoni
Jun 12, 2004·Journal of Vascular Surgery·Roy K GreenbergUNKNOWN Zenith Investigators
Nov 10, 2004·Annals of Vascular Surgery·Eric DucassePaolo Fiorani
Apr 3, 2007·Journal of Vascular Surgery·Brian G PetersonUNKNOWN Excluder Bifurcated Endoprosthesis Investigators
Nov 26, 2008·Journal of Vascular Surgery·George A AntoniouAthanasios D Giannoukas
Jan 13, 2009·Journal of Vascular Surgery·Rebecca L KelsoDaniel G Clair
Sep 30, 2009·Journal of Vascular Surgery·David NabiChristopher K Zarins
Oct 14, 2009·Journal of Vascular Surgery·Elliot L ChaikofUNKNOWN Society for Vascular Surgery
Dec 15, 2010·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Konstantinos G MoulakakisChristos D Liapis
Feb 22, 2011·Journal of Vascular Surgery·Clayton J BrinsterBenjamin M Jackson
Jan 11, 2012·Seminars in Vascular Surgery·Wesley Lew, Wesley Moore
Jan 11, 2012·Seminars in Vascular Surgery·Jean-Baptiste Ricco, Ojan Assadian
Apr 17, 2012·Journal of Vascular Surgery·Cassius Iyad Ochoa ChaarJae-Sung Cho
Jul 9, 2013·Journal of Vascular Surgery·Erin H MurphyEdward Y Woo
Sep 3, 2013·Annals of Vascular Surgery·Shipra AryaKatherine A Gallagher
Oct 22, 2013·Journal of Vascular Surgery·Chris KlonarisGregory Kouraklis

❮ Previous
Next ❯

Citations

Oct 21, 2016·Journal of Vascular Surgery·Andrea KahlbergUNKNOWN MAEFISTO collaborators
Nov 14, 2016·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S K KakkosUNKNOWN Hellenic Co-operative Group on Aortic Surgery
Aug 2, 2017·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Christos ArgyriouGeorge A Antoniou
Sep 6, 2020·Annals of Vascular Surgery·George S GeorgiadisMiltos K Lazarides
Apr 9, 2019·Journal of Vascular Surgery·Seline R GoudekettingJean-Paul P M de Vries

❮ Previous
Next ❯

Methods Mentioned

BETA
dissection

Software Mentioned

SPSS

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Related Papers

Canadian Journal of Surgery. Journal Canadien De Chirurgie
Thomas L ForbesGuy DeRose
Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Konstantinos G MoulakakisChristos D Liapis
© 2021 Meta ULC. All rights reserved