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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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Related Experiment Video

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A New Murine Model of Endovascular Aortic Aneurysm Repair
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Late open conversion after endovascular aneurysm repair.

Spiridon Botsios1, Yvonne Bausback2, Michael Piorkowski2

  • 1Center of Vascular Medicine, Angiology and Vascular Surgery, Park Hospital Leipzig, Leipzig, Germany Faculty of Health, Witten/Herdecke University, Witten, Germany botsios@arcor.de.

Interactive Cardiovascular and Thoracic Surgery
|June 26, 2014
PubMed
Summary

Late open conversion after endovascular aneurysm repair (EVAR) is safe and successful. Complete stent-graft explantation is preferred for graft infection but not always necessary for other late EVAR complications.

Keywords:
Abdominal aortaAneurysmComplicationsEndovascular treatmentOpen conversion

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Area of Science:

  • Vascular Surgery
  • Endovascular Interventions
  • Aortic Aneurysm Repair

Background:

  • Endovascular aneurysm repair (EVAR) is an alternative to open surgery for infrarenal abdominal aortic aneurysms.
  • A subset of patients requires late open conversion after EVAR.
  • This study reviews late conversion operations.

Purpose of the Study:

  • To review the experience with late open conversion operations after EVAR.
  • To analyze indications, procedures, and outcomes of late conversions.

Main Methods:

  • Retrospective review of 411 EVARs performed between December 2004 and August 2012.
  • Analysis of nine patients who required late open conversion (median 34 months post-EVAR).

Main Results:

  • Indications included endoleak, sac enlargement, rupture, endotension, thrombosis, and infection.
  • Five patients underwent complete stent-graft explantation.
  • Eight conversions were elective; one was emergent due to rupture.
  • The 30-day mortality rate was 0%.

Conclusions:

  • Late open conversion after EVAR can be performed safely and successfully.
  • Complete stent-graft explantation is a preferred option, especially for graft infection.
  • Not all late complications necessitate complete explantation.