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

作者: Danilo Menna , Laura Capoccia , Pasqualino Sirignano , Andrea Esposito , Massimo Rossi

DOI: 10.1177/1526602814562777

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摘要: Purpose: 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. Methods: Twenty-six consecutive (24 men; mean age 74.7±8.3 years) underwent LOC between June 2006 and April 2013 at our institution. The interval from index EVAR was 40.4±29.2 months (range 5–93 months). indication for endoleak 14 (54%) infection 12 (46%): 2 (8%) with had a ruptured 6 (23%) recurrent secondary aortoesophageal fistula (sAEF). Results: In cases endoleaks, the entire endograft explanted. A rifampin-soaked Dacron silver graft implanted infection. Patients AEF required more blood units than (6.40 vs. 1.86, p=0.045; 6.76 p=0.0036, respectively). Compa...

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