Abstract:
:During an 8-year period, 355 patients underwent endovascular repair of mainly true (97%) infrarenal aneurysms. After a mean follow-up of 48 months, 11 (3.1%) patients required conversion to open repair and 10 were eligible for open surgical intervention. Via a midline incision, explantation of the endograft was performed by using an infrarenal aortotomy. Explantation was done for rupture in four patients (40%), with a marked difference in mortality rates between acute (50%) and elective (0%) explantations. The main reason for explantation was proximal type I endoleak caused by (1) malposition of the device, (2) proximal migration of the endograft, and (3) dislodgment of a tube endograft that followed former central reconstruction. Proximal migration is most worrisome and demands preventive endovascular reintervention. The mortality and morbidity rates of elective explantation are acceptable. When delayed conversion is indicated, priority has to be given to operate on these patients.
journal_name
Vascularjournal_title
Vascularauthors
de Vries JP,van Herwaarden JA,Overtoom TT,Vos JA,Moll FL,van de Pavoordt EDdoi
10.1258/rsmvasc.13.3.135subject
Has Abstractpub_date
2005-05-01 00:00:00pages
135-40issue
3eissn
1708-5381issn
1708-539Xjournal_volume
13pub_type
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