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Related Experiment Videos

[Conventional aortic surgery after endovascular aortic reconstruction].

C Schunn1, K Kalligianni, G Hetzel

  • 1Klinik für Gefässchirurgie, Klinikum Nürnberg-Süd. cschunn@hsc.wvu.edu

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|June 7, 2000
PubMed
Summary

Conversion to open aortic repair after endovascular therapy for aortic aneurysms is complex. This procedure, required in 9.8% of cases, presents significant challenges and risks, including complications and mortality.

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Area of Science:

  • Vascular Surgery
  • Endovascular Interventions

Context:

  • Endovascular therapy offers an alternative to conventional open surgery for aortic aneurysms.
  • A significant minority of patients require conversion to open repair due to endovascular therapy failure.

Purpose:

  • To report the experience and outcomes of conversion to open aortic repair after endovascular therapy for infrarenal aortic aneurysms.
  • To analyze the technical challenges and complication rates associated with this conversion procedure.

Summary:

  • Out of 306 patients undergoing endovascular therapy for infrarenal aortic aneurysms, 30 (9.8%) required conversion to open repair.
  • Conversion procedures were technically demanding, particularly regarding clamping and stent extraction.
  • Complications occurred in 43.3% of conversion cases, with a 10% mortality rate.

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Impact:

  • Conversion to open repair after endovascular therapy is associated with higher morbidity and mortality compared to primary open repair.
  • The findings highlight the increased technical difficulty and risks involved in emergent conversions, especially with associated bleeding.