Open Conversion After Endovascular Abdominal Aneurysm Repair: An 8 year Single Centre Experience

摘要: Objective To report experience with open conversion (OC) after previous failed EVAR and to compare outcomes of patients undergoing elective OC those operated on in an urgent setting. Methods Patients between August 2008 September 2016 were included this retrospective observational single institution study. Indications, demographic, anatomical, intra-operative post-operative data collected prospectively. Primary endpoints 30 day hospital mortality. Secondary moderate severe complications, secondary interventions, length intensive care unit, stay. Results was performed 31 over the study period: 19 12 emergency OC, including six ruptures. Median time from index delayed 35 months (0–228 months). The most common indications for endoleaks ( n  = 24, 77%), followed by stent graft infection  = 3, 10%), thrombosis 10%) kinking  = 1, 3%). Eight removed grafts Endurant, two Talent, five Excluder, Nellix, AFX, Zenith, one Vanguard, Anaconda, Seta. Overall mortality 10%, significantly increased group compared (25% vs. 0%, p  = .049). Renal pulmonary complications higher (42% 5%,  = .02 42%  = .005, respectively). No late complication or death recorded a mean follow-up 18 ± 13 months. Conclusions Emergency is associated morbidity OC. Elective appears be safer effective, should considered as best option cases failure avoid further procedures.