Endovascular stent-graft excision and surgical aortic reconstruction

Asian Cardiovasc Thorac Ann. 2016 May;24(4):382-5. doi: 10.1177/0218492315574794. Epub 2015 Mar 4.

Abstract

Endovascular aneurysm repair is being used more often and replacing open surgical repair as the treatment option for aortic aneurysm. Early results are better than those of open surgical repair, but the need for a second intervention is greater. Excision of a previously placed stent-graft by different surgical methods is very difficult and has high mortality and morbidity rates. We describe 3 patients who had previous endovascular aneurysm repair and were treated by an open surgical method with near total excision, leaving part of the stent-graft in the native aortic tissue.

Keywords: Aortic aneurysm; blood vessel prosthesis implantation; device removal; prosthesis failure; reoperation.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aortic Aneurysm, Abdominal / diagnostic imaging
  • Aortic Aneurysm, Abdominal / surgery*
  • Aortography / methods
  • Blood Vessel Prosthesis Implantation / adverse effects
  • Blood Vessel Prosthesis Implantation / instrumentation*
  • Blood Vessel Prosthesis*
  • Computed Tomography Angiography
  • Device Removal*
  • Endovascular Procedures / adverse effects
  • Endovascular Procedures / instrumentation*
  • Humans
  • Iliac Aneurysm / diagnostic imaging
  • Iliac Aneurysm / surgery*
  • Male
  • Plastic Surgery Procedures*
  • Reoperation
  • Stents*
  • Time Factors
  • Treatment Outcome