Endoluminal stent graft repair of aortobronchial fistulas.

Abstract:

OBJECTIVE:To describe our experience with endoluminal stent graft repair of aortobronchial fistulas. METHODS:We reviewed the records of patients treated with endoluminal stent grafting of aortobronchial fistulas at a private teaching hospital. All patients underwent the following diagnostic studies: computed tomography, angiography, bronchoscopy, and transesophageal echocardiography. With standard endovascular techniques, two different devices were implanted. RESULTS:Between March 1997 and October 2000, we treated four patients with postsurgical fistulas. The patients were diagnosed with hemoptysis between 3 and 23 years after aortic replacement grafting for thoracic aneurysms. Diagnostic studies varied in their ability to find the fistula. Transesophageal echocardiography most reliably demonstrated the fistula in the patients. All were successfully treated by exclusion with endoluminal stent grafting. The patients had no complications and no further episodes of hemoptysis. CONCLUSION:Endoluminal stent grafting of aortobronchial fistulas is feasible and may become the preferred method of management in patients at high risk.

journal_name

J Vasc Surg

authors

Thompson CS,Ramaiah VG,Rodriquez-Lopez JA,Vranic M,Ravi R,DiMugno L,Shafique S,Olsen D,Diethrich EB

doi

10.1067/mva.2002.118583

subject

Has Abstract

pub_date

2002-02-01 00:00:00

pages

387-91

issue

2

eissn

0741-5214

issn

1097-6809

pii

S0741521402081016

journal_volume

35

pub_type

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