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Emergency Endovascular Repair of Aortocaval Fistula-A Single Center Experience
- Source :
- Vascular and Endovascular Surgery. 45:442-446
- Publication Year :
- 2011
- Publisher :
- SAGE Publications, 2011.
-
Abstract
- Purpose: To review the outcomes of patients undergoing emergency endovascular repair of aortocaval fistula (ACF) secondary to abdominal aortic aneurysm (AAA). Case Report: Four consecutive patients who underwent emergency endovascular repair of ACF associated with AAA in a tertiary institution between 2002 and 2009. Of the 4 patients, 3 had initially been misdiagnosed and managed for several days by other specialists for their symptoms prior to diagnosis of their ACF. Three patients died in the early postoperative period. The fourth patient made a satisfactory postoperative recovery but subsequently required further endovascular surgery to treat a persistent type 1 endoleak. Conclusions: Our experience illustrates the importance of early diagnosis and management of ACF. Even in experienced hands, the management of spontaneous ACF associated with AAA is challenging. Endovascular surgery may still have a role in improving outcomes in these patients.
- Subjects :
- Male
Reoperation
medicine.medical_specialty
Time Factors
Endoleak
Vena cava
Treatment outcome
Aortic Diseases
Vena Cava, Inferior
Single Center
Aortography
digestive system
Magnetic resonance angiography
Blood Vessel Prosthesis Implantation
Aortic aneurysm
Fatal Outcome
X ray computed
Aortocaval fistula
medicine
Humans
cardiovascular diseases
Aged
Vascular Fistula
medicine.diagnostic_test
business.industry
Endovascular Procedures
Phlebography
General Medicine
medicine.disease
digestive system diseases
Abdominal aortic aneurysm
Surgery
Treatment Outcome
cardiovascular system
Radiology
Emergencies
Tomography, X-Ray Computed
Cardiology and Cardiovascular Medicine
business
Magnetic Resonance Angiography
Aortic Aneurysm, Abdominal
Subjects
Details
- ISSN :
- 19389116 and 15385744
- Volume :
- 45
- Database :
- OpenAIRE
- Journal :
- Vascular and Endovascular Surgery
- Accession number :
- edsair.doi.dedup.....a11128d85d122161abf8ae0ad4d118d9