The role of aortic stent grafting in the treatment of atheromatous embolization syndrome: results after a mean of 15 months follow-up

Journal of Vascular Surgery
Alfio CarroccioM L Marin

Abstract

Endovascular stent-graft (ESG) repair of abdominal aortic aneurysm (AAA) has emerged as an alternative to open surgery. The role of ESG in patients with challenging medical and anatomic problems remains an area of general debate. This study reviews an experience with stent grafts to treat patients with AAA and atheromatous embolization syndrome (AES) presenting with chronic distal embolization (CDE). Over a 5-year period 660 patients with AAA were treated with aortic stent grafts. Patients with AAA and ischemic ulcerations or toe gangrene due to CDE despite palpable foot pulses were investigated for successful aneurysm exclusion, resolution of ischemic symptoms, complications and survival. Follow-up averaged 15.3 +/- 14.9 months (range, 1 to 60 months). Nineteen patients had AAA and manifestations of CDE. The population (16 males/3 females) had a mean age of 79 +/- 7 years and mean aneurysm diameter of 5.5 cm. Renal insufficiency was present in 5/19 (26 %). Ischemia presented as ischemic ulcers (16/19 [84.2%]) or toe gangrene (3/19 [15.8%]). Stent grafts included 6 aortouniiliac and 13 bifurcated devices. Exclusion was achieved in all but 2 patients who had type II lumbar endoleaks. At 30-day postoperative follow-up, mortality ...Continue Reading

References

Mar 1, 1986·Journal of Vascular Surgery·J P WingoR W Barnes
May 1, 1995·Journal of Vascular and Interventional Radiology : JVIR·K D MurphyJ C Palmaz
May 1, 1995·Journal of Vascular Surgery·R R KeenJ S Yao
May 1, 1994·Annals of Vascular Surgery·D S BaumannG A Sicard
May 4, 1996·British Journal of Hospital Medicine·M G Robson, J E Scoble
Oct 1, 1996·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·P V SharmaZ E Nassoura
Jun 27, 1998·Lancet·R G Woolfson, H Lachmann
Apr 23, 1999·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·X BelenfantC Jacquot
Jun 2, 2000·Journal of Vascular and Interventional Radiology : JVIR·W J MatchettM M Moursi
Dec 21, 2000·The British Journal of Dermatology·T M Finch, K S Ryatt
Dec 14, 2002·The American Journal of Cardiology·Paul A TunickUNKNOWN NYU Atheroma Group
Jan 14, 2004·Journal of Vascular Surgery·Enrique CriadoJohn Ricotta

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Citations

Jan 18, 2014·Journal of Vascular Surgery·Geetha JeyabalanMichel S Makaroun
Dec 29, 2009·Annals of Vascular Surgery·Patrick S WolfBenjamin W Starnes
Dec 16, 2017·Journal of Interventional Cardiology·Akanksha AgrawalJanani Rangaswami
Aug 11, 2010·Circulation·Itzhak Kronzon, Muhamed Saric
Mar 8, 2008·Current Treatment Options in Cardiovascular Medicine·Amjad Almahameed, Duane S Pinto
Oct 31, 2012·Updates in Surgery·M CaricatoM Callea
Jun 28, 2007·Vascular and Endovascular Surgery·Michael W A ChuGuy Derose
Oct 9, 2008·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Kosmas I ParaskevasAthanasios D Giannoukas
Feb 1, 2006·Vascular Medicine·Yin Ping Liew, John R Bartholomew
Feb 24, 2020·La Revue de médecine interne·J Denis Le SeveM Artifoni
Oct 1, 2021·Advanced Biology·Yvonne BaumerWilliam A Boisvert
Apr 13, 2010·Lancet·Francesco Scolari, Pietro Ravani

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