Initial management and outcome of aortic endograft limb occlusion

Journal of Vascular Surgery
Victor Z ErzurumKenneth Ouriel

Abstract

The purpose of this study was to determine the differences in outcome related to initial management of aortic endograft limb occlusion (ELO). During a 7-year period, 823 endovascular aneurysm repairs (EVARs) resulted in 25 ELOs in 22 patients. The initial management and outcome of these ELOs were reviewed. Median follow-up after ELO was 24.2 +/- 16.8 months. Initial EVARs included both unsupported unibody (n = 5) and supported modular (n = 17) devices. ELO was significantly more common in the unsupported unibody graft design (P <.024) and with extension of the graft limb to the external iliac artery (P <.001). ELO was managed with an endovascular approach (EVA), including some combination of mechanical thrombectomy (n = 8), angioplasty with or without stenting (n = 8), and thrombolysis (n = 2) in 12 patients and bypass procedures (femoral-femoral bypass, n = 11; axillofemoral bypass, n = 1; and aortofemoral bypass, n = 1) in 13. At 12-month follow-up, freedom from secondary procedures with EVA was 80.2 +/- 17.7% versus 53.2 +/-17.1% with extra-anatomic bypass (EB) (P = NS). Secondary patency was 100% with EVA and 80.6 +/- 14.4% with EB (P = NS). Of the 12 EVAs, there was 1 (8.3%) perioperative mortality with EVA and none with E...Continue Reading

References

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Citations

Dec 3, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G K MantasC D Liapis
Jan 6, 2016·Annals of Vascular Diseases·Takehiro ShirasugiHideki Morita
Sep 27, 2008·Journal of Vascular and Interventional Radiology : JVIR·Geert MaleuxAndré Nevelsteen
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Jan 13, 2012·Journal of Vascular Surgery·Ryan A Helmick, Charles L Mesh
Sep 4, 2007·Journal of Vascular Surgery·Ulka SachdevMichael L Marin
Dec 8, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A KarthikesalingamM M Thompson
Aug 3, 2007·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A FreyrieA Stella
Jun 5, 2013·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·I-Hui WuNai-Hsin Chi
Apr 3, 2007·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·F CochennecF Roudot-Thoraval
Feb 7, 2015·Journal of Vascular Surgery·Elsa M FaureUNKNOWN ENGAGE collaborators
Oct 8, 2009·Vascular Medicine·Graham M Roche-Nagle, Mary C Barry
Nov 6, 2018·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Fabien LareyreJuliette Raffort
Jul 25, 2009·Cardiovascular and Interventional Radiology·Julian S TsangAustin L Leahy
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Apr 4, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Andreia Coelho
Jun 25, 2019·Journal of Vascular Surgery·Brianna Spencer, Faisal Aziz

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