Full-text resources of PSJD and other databases are now available in the new Library of Science.
Visit https://bibliotekanauki.pl

PL EN


Preferences help
enabled [disable] Abstract
Number of results
2012 | 84 | 11 | 551-559

Article title

Influence of Atheromatous Lesions in the Ilio-Femoral Segment on the Occurrence of Stentgraft Thrombosis After Endovascular Treatment of an Abdominal Aortic Aneurysm

Content

Title variants

Languages of publication

EN

Abstracts

EN
Limb graft thrombosis (LGT) is one of the most frequent severe complications after endovascular repair of abdominal aortic aneurysms.The aim of the study was to assess the influence of atherosclerosis in ileo-femoral segment on the incidence of LGT as well as to analyze the methods of treatment of LGT.Material and methods. The medical records of 564 consecutive patients operated endovascularly for abdominal aortic aneurysm by means of bifurcated stentgrafts in the Department of General, Vascular and Transplantat Surgery of Medical University of Warsaw were analyzed. The minimal observation time after surgery was one year. Patients with inflammatory, ruptured and falls aneurysms as well as those with the observation period below 12 months were excluded from the study. Patients were divided into two groups: test (B) and control (K) depending on the progression of atherosclerosis in the iliac arteries. Group B included 184 patients (13 women and 171 men), with advanced atherosclerotic lesions of ilio-femoral segment, corresponding to the A - C class in the TASC classification. The remaining 380 patients (25 women and 355 men) without significant blood flow disorders in the iliac arteries, constituted the group K. The computed tomography was done in all patients with acute limb ischemia.Results. During the observation time up to 114 month, the LGT occurred in 43 (7.6%) cases: [group B - 34/184 (18.5%), group K - 9/380 (2.4%)]. The treatment of LGT included an attempt of patency restoring of the prosthesis by means of thrombolysis or thrombectomy combined with stenting. In case of failure the cross-over femoro-femoral bypass was implanted. Thrombectomy was successful in 21 of 40 cases (52.5%), the local thrombolysis was done in 5 patients and it was successful in three cases and in the remaining two patients the thrombectomy was done. In 16 of 24 patients after patency restoring of the prosthesis the angioplastics and stenting was done. In 17 cases the femoro-femoral bypass was implanted.Conclusions. The atherosclerosis in ileo-femoral segment significantly increases the risk of LGT. An attempt of patency restoring (thrombectomia or thrombolysis) combined with stenting and cross-over femoro- femoral bypass implantation in case of failure seems to be the successful method of LGT treatment.

Publisher

Year

Volume

84

Issue

11

Pages

551-559

Physical description

Dates

published
1 - 12 - 2012
online
09 - 02 - 2013

Contributors

  • Chair and Department of General, Vascular and Transplantation Surgery, Warsaw Medical University
  • Chair and Department of General, Vascular and Transplantation Surgery, Warsaw Medical University
  • Chair and Department of General, Vascular and Transplantation Surgery, Warsaw Medical University
author
  • Chair and Department of General, Vascular and Transplantation Surgery, Warsaw Medical University

References

  • 1. Alric P, Hinchliffe RJ, MacSweeney STR et al.: The Zenith aortic stent-graft: a 5-year single-center experience. J Endovasc Ther 2002, 9: 719-28.
  • 2. Bernhard VM, Mitchell RS, Matsumura JS et al.: Ruptured abdominal aortic aneurysm after endovascular repair. J Vasc Surg 2002, 35: 1155-62.[Crossref][PubMed]
  • 3. Fransen GAJ Vallabhaneni SR , van MarrewijkCJ et al.: Rupture of infra-renal aortic aneurysm after endovascular repair: a series from EUROSTAR registry. Eur J Vasc Endovasc Surg 2003, 26: 487-93.[Crossref][PubMed]
  • 4. Harris PL, Vallabhaneni SR , Desgranges P et al.: Incidence and risk factors of late rupture, conversion, and death after endovascular repair of infrarenal aortic aneurysms: The EUROSTAR experience. J Vasc Surg 2000, 32: 739-49.[Crossref]
  • 5. White RA , Donayre CE, Walot I, Stewart M: Abdominal aortic aneurysm rupture following endoluminal graft deployment: report of a predictable event. J Endovasc Ther 2000, 7: 257-62.[Crossref][PubMed]
  • 6. Abraham CZ, Chuter TA, Reilly LM et al.: Abdominal aortic aneurysm repair with the Zenith stent graft: short to midterm results. J Vasc Surg 2002; 36(2): 217-24.[PubMed][Crossref]
  • 7. Cochennec F, Becquemin JP, Desgranges P et al.: Limb Graft Occlusion Following EVAR: Clinical Pattern, Outcomes and Predictive Factors of Occurrence. Eur J Vasc Endovasc Surg 2007; 34: 59-65.[Crossref][WoS]
  • 8. Krajcer Z, Gilbert JH, Dougherty K et al.: Successful treatment of aortic endograft thrombosis with rheolytic thrombectomy. J Endovasc Ther 2002; 9(6): 756-64.[Crossref][PubMed]
  • 9. Laheij RJ, Buth J, Harris PL et al.: Need for secondary interventions after endovascular repair of abdominal aortic aneurysms. Intermediate-term follow-up results of a European collaborative registry (EUROSTAR). Br J Surg 2000; 87(12): 1666-73.[PubMed]
  • 10. Ouriel K, Clair DG, Greenberg RK et al.: Endovascular repair of abdominal aortic aneurysms: devicespecific outcome. J Vasc Surg 2003; 37(5): 991-98.[PubMed][Crossref]
  • 11. Quill DS, Colgan MP, Sumner DS: Ultrasonic screening for the detection of abdominal aortic aneurysms. Surg Clin North Am 1989; 713-20.[PubMed]
  • 12. Wegener M, Görich J, Krämer S et al.: Thrombus formation in aortic endografts. J Endovasc Ther 2001; 8(4): 372-79.[Crossref]
  • 13. Carpenter JP, Neschis DG, Fairman RM et al.: Failure of endovascular abdominal aortic aneurysm graft limbs. J Vasc Surg 2001; 33: 296-303.[Crossref][PubMed]
  • 14. Parent FN, Godziachvili V, George MH et al.: Endograft limb occlusion and stenosis after ANCURE endovascular abdominal aneurysm repair. J Vasc Surg 2002; 35: 686-90.[Crossref][PubMed]
  • 15. Carroccio A, Faries PL, Morrissey NJ et al.: Predicting iliac limb occlusions after bifurcated aortic stent grafting: Anatomic and device-related causes. J Vasc Surg 2002; 36: 679-84.[PubMed]
  • 16. Sandford RM , Bown MJ, Sayers RD et al.: Endovascular Abdominal Aortic Aneurysm Repair: 5-Year Follow-Up Results. Ann Vasc Surg 2008; 22(3): 372-78.
  • 17. Volodos NL , Karpovich IP, Shenkhanin VE et al.: A case of distant transfemoral endoprosthesis of the thoracic artery using a self-fixing synthetic prosthesis in traumatic aneurysm. Grudn Khir 1988; 6: 84-86.[PubMed]
  • 18. Fairman RM, Baum RA, Carpenter JP et al.: Limb interventions in patients undergoing treatment with an unsupported bifurcated aortic endograft system: A review of the Phase II EVT Trial, for the Phase II EVT Investigators, Philadelphia, Pa. J Vasc Surg 2002; 36: 118-26.[PubMed][Crossref]
  • 19. Conners MS, Sternbergh WCh, Carter G et al.: Secondary procedures after endovascular aortic aneurysm repair. J Vasc Surg 2002; 36: 992-96.[Crossref]
  • 20. Sampram ESK , Karafa MT, Mascha EJ et al.: Nature, frequency, and predictors of secondary procedures after endovascular repair of abdominal aortic aneurysm. J Vasc Surg 2003; 37: 930-37.[Crossref][PubMed]
  • 21. Erzurum VZ, Sampram ESK , Sarac TP et al.: Initial management and outcome of aortic endograft limb occlusion. J Vasc Surg 2004; 40: 419-23.[PubMed][Crossref]
  • 22. Lalka S, Dalsing M, Cikrit D et al.: Secondary interventions after endovascular abdominal aortic aneurysm repair. Am J Surg 2005; 190: 787-94.[Crossref][PubMed]
  • 23. Sivamurthy N, Schneider D, Reilly L et al.: Adjunctive primary stenting of Zenith endograft limbs during endovascular abdominal aortic aneurysm repair: Implications for limb patency. J VascSurg 2006; 43(4): 662-70.
  • 24. Hobo R, van Marrewijk CJ, Leurs LJ et al.: Adjuvant Procedures Performed During Endovascular Repair of Abdominal Aortic Aneurysm. Does it Influence Outcome Eur J Vasc Endovasc Surg 2005; 30: 20-28.[Crossref]
  • 25. Becquemin J, Allaire E, Desgranges P, KobeiterH: Delayed Complications Following EVAR. TechVasc Interventional Rad 2005.8: 30-40
  • 26. Laheij RJ, Buth J, Harris PL et al.: Need for secondary interventions after endovascular repair of abdominal aortic aneurysms: intermediate-term follow-up results of a European collaborative registry (EUROSTAR). Br J Surg 2000; 87: 1666-73.[PubMed]
  • 27. Maldonado TS, Rockman CB, Riles E et al.: Ischemic complications after endovascular abdominal aortic aneurysm repair. J Vasc Surg 2004; 203-09.
  • 28. Todd BW, Hodgson KJ, Parra JR et al.: Endovascular management of iliac limb occlusion of bifurcated aortic endografts. J Vasc Surg 2002; 35: 584-88.
  • 29. Dormandy JA, Rutherford RB: Management of peripheral arterial disease (PAD). TASC Working Group. TransAtlantic Inter-Society Consensus (TASC). J Vasc Surg 2000; 31(1 pt 2): S1-S296.
  • 30. Reed D, Reed C, Stemmermann G, Hayashi T: Are aortic aneurysms caused by atherosclerosis. Circulation 1992; 205-11.[PubMed]
  • 31. Diwan A, Sarkar R, Stanley JC et al.: Incidence of femoral and popliteal artery aneurysms in patients with abdominal aortic aneurysms. J VascSurg 2000; 31: 863-69.
  • 32. Hobo R, Laheij RJ. F, Buth J on behalf of the EUROSTAR collaborators, Eindhoven, The Netherlands: The influence of aortic cuffs and iliac limb extensions on the outcome of endovascular abdominal aortic aneurysm repair. J Vasc Surg 2007; 45: 79-85.[Crossref]
  • 33. Chuter T, Pak LK , Roy LG et al.: Heparin-Induced Thrombocytopenia and Graft Thrombosis Following Endovascular Aneurysm Repair. J. EndovascTher 2003; 10(6): 1087-90.
  • 34. Aljabri B, Obrand DI, Montreuil B et al.: Early vascular complications after endovascular repair of aortoiliac aneurysms. Ann Vasc Surg 2001; 15: 608-14.[Crossref]
  • 35. Bohannon WT, Hogson KJ, Parra JR et al.: Endovascular management of iliac occlusionof bifurcated aorctic endografts. J Vasc Surg 2002; 35, 584-88.[Crossref]
  • 36. Becquemin JP, Kelley L, Zubilewicz T et al.: Outcomes of secondary interventions after abdominal aortic aneurysm endovascular repair. JVasc Surg 2004; 39: 298-305.[Crossref]
  • 37. Yilmaz LP, Abraham CZ, Reilly LM et al.: Is cross-femoral bypass grafting a disadvantage of aortomonoiliac endovascular aortic aneurysm repair? J Vasc Surg 2003; 38(4): 753-57. [Crossref][PubMed]

Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_v10035-012-0092-2
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.