scholarly journals Aorto-Enteric Fistula following Endovascular Aortic Repair: Results from the Multicenter study on Aorto-Enteric FIstulization after STent grafting Of the abdominal aorta (MAEFISTO)

2015 ◽  
Vol 50 (3) ◽  
pp. 391 ◽  
Author(s):  
A. Kahlberg ◽  
E. Rinaldi ◽  
P. Castelli ◽  
G. Piffaretti ◽  
F. Speziale ◽  
...  
Author(s):  
Tal M Hörer

Parallel grafts, or chimney grafts, are at times a good solutions for EndoVascular Aorta repair (EVAR) in ruptured cases. These photoes shows an acute case with uni-chimney left kidney with succesful outcome.


2019 ◽  
Vol 56 (6) ◽  
pp. 1199-1201
Author(s):  
Zain Al Rstum ◽  
Akiko Tanaka ◽  
Hazim J Safi ◽  
Anthony L Estrera

Abstract Aortobronchial and aorto-oesophageal fistulae after thoracic endovascular aortic repair (TEVAR) for traumatic aortic injuries are rare but serious. Potentially fatal complications may occur years after the stent graft deployment. Surgical management is challenging. We report on a 33-year-old male with aorto-oesophageal fistula and a 25-year-old male with aortobronchial fistula—both of whom received TEVAR for traumatic aortic injury. Each underwent successful staged open surgical repair with extra-anatomical bypass from the ascending aorta to the thoraco-abdominal aorta, along with arch vessel reconstructions and debridement of infected lesions. They remained alive after 18 months.


2019 ◽  
Vol 29 (4) ◽  
pp. 621-624
Author(s):  
Hui Zhuang ◽  
Fanggang Cai ◽  
Zhixian Wu ◽  
Tenghui Zhan ◽  
Hongyu Chen ◽  
...  

Abstract This study aimed to investigate the efficacy and safety of salvage endovascular septectomy in patients with abdominal chronic aortic dissection (CAD) after endovascular aneurysm repair. A study cohort comprising 6 patients with chronic abdominal aortic dissection after failed endovascular aortic repair [mean age 62.5 (36–69) years] were enrolled to undergo salvage endovascular septectomy. The procedure involved entering the false lumen via the intrinsic visceral entry to perform a confined septectomy using a ‘Gigli wire’ to merge the true and false lumens. The outcomes were assessed by Digital angiography and computed tomography angiography. All 6 patients were successfully operated on; the diameters of the visceral abdominal aorta and the infrarenal abdominal aorta were similar at 1, 3, 6 and 12 months compared with the baseline; the patency of the visceral branch arteries was also stable at 1, 3, 6 and 12 months compared with the baseline; no occlusion of the visceral branch arteries was noted; no major vascular adverse events or deaths were observed. In this preliminary study, it was proven that salvage endovascular septectomy is a potentially advantageous technique that is safe and effective in the treatment of patients with CAD after failed endovascular aortic repair.


2020 ◽  
Vol 30 (4) ◽  
pp. 620-622 ◽  
Author(s):  
Yangfeng Tang ◽  
Lin Han ◽  
Xinli Fan ◽  
Boyao Zhang ◽  
Jiajun Zhang ◽  
...  

Abstract This study aimed to report the case of 7 consecutive patients who underwent surgical treatment for aortic endograft infection after thoracic endovascular aortic repair (TEVAR). The management included the reconstruction of aorta using extra-anatomic prosthetic graft bypass (between the ascending aorta and the abdominal aorta), removal of the infected endograft with debridement of the infected tissue and sac drainage, followed by prolonged antibiotic therapy. This brief communication highlights that the reconstruction of aorta using extra-anatomic prosthetic graft bypass during surgical treatment for aortic endograft infection after TEVAR was reliable and effective.


2016 ◽  
Vol 64 (2) ◽  
pp. 313-320.e1 ◽  
Author(s):  
Andrea Kahlberg ◽  
Enrico Rinaldi ◽  
Gabriele Piffaretti ◽  
Francesco Speziale ◽  
Santi Trimarchi ◽  
...  

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