Endovascular treatment of failed prior abdominal aortic aneurysm repair

Peter L. Faries, Jamie Won, Nicholas J. Morrissey, Vania L. Briggs, Hadley Cadot, Alfio Carroccio, Victoria Teodorescu, Kristina S. Chae, Larry H. Hollier, Michael L. Marin

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Failure of endovascular or conventional abdominal aortic aneurysm (AAA) repair may occur as a result of attachment site endoleak (type I) or paraanastomotic aneurysm and pseudoaneurysm formation. This study examined the results of the use of secondary endovascular grafts for the treatment of failed prior infrarenal AAA repair procedures. Forty-seven patients were treated with endovascular grafts. These included 14 patients with type I endoleaks (5 proximal, 8 distal, 1 proximal and distal) and 33 patients with paraanastomotic aneurysms after standard open surgical AAA repair (3 proximal aorta, 5 distal aorta, 21 iliac, 4 proximal and distal). The interval between the primary aortic procedure and the endovascular repair was significantly shorter for failed endovascular procedures (mean, 18.2 months; range, 1-42 months) than for failed conventional procedures (mean, 108.9 months; range, 12-216 months) (p < 0.01). The endovascular devices used for correction of the failed AAA repairs were Talent (23), physician-made (19), AneuRx (2), Vanguard (2), and Excluder (1). Transrenal fixation was used for repair of all proximal anastomotic failures. Mean follow-up after reintervention was 12.2 months in patients with failed endovascular grafts and 10.6 months in patients with failed conventional grafts. Patient demographics were as follows: average age, 78 years; 36 male and 11 female; and 4.1 comorbid medical conditions per patient. The endovascular graft was successfully deployed in all 47 cases; 1 patient experienced a persistent proximal attachment site endoleak after endograft deployment. Endovascular grafts may be used to treat previously failed endovascular and conventional AAA repair procedures with good short- and intermediate-term results. Endovascular treatments in these cases may avoid the difficulties of aortic reoperation or AAA repair in the setting of prior endovascular aortic grafting.

Original languageEnglish (US)
Pages (from-to)43-48
Number of pages6
JournalAnnals of Vascular Surgery
Volume17
Issue number1
DOIs
StatePublished - Jan 2003
Externally publishedYes

Fingerprint

Abdominal Aortic Aneurysm
Transplants
Endoleak
Endovascular Procedures
Therapeutics
Aneurysm
Aorta
Aptitude
False Aneurysm
Reoperation
Demography
Physicians
Equipment and Supplies

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Faries, P. L., Won, J., Morrissey, N. J., Briggs, V. L., Cadot, H., Carroccio, A., ... Marin, M. L. (2003). Endovascular treatment of failed prior abdominal aortic aneurysm repair. Annals of Vascular Surgery, 17(1), 43-48. https://doi.org/10.1007/s10016-001-0335-x

Endovascular treatment of failed prior abdominal aortic aneurysm repair. / Faries, Peter L.; Won, Jamie; Morrissey, Nicholas J.; Briggs, Vania L.; Cadot, Hadley; Carroccio, Alfio; Teodorescu, Victoria; Chae, Kristina S.; Hollier, Larry H.; Marin, Michael L.

In: Annals of Vascular Surgery, Vol. 17, No. 1, 01.2003, p. 43-48.

Research output: Contribution to journalArticle

Faries, PL, Won, J, Morrissey, NJ, Briggs, VL, Cadot, H, Carroccio, A, Teodorescu, V, Chae, KS, Hollier, LH & Marin, ML 2003, 'Endovascular treatment of failed prior abdominal aortic aneurysm repair', Annals of Vascular Surgery, vol. 17, no. 1, pp. 43-48. https://doi.org/10.1007/s10016-001-0335-x
Faries PL, Won J, Morrissey NJ, Briggs VL, Cadot H, Carroccio A et al. Endovascular treatment of failed prior abdominal aortic aneurysm repair. Annals of Vascular Surgery. 2003 Jan;17(1):43-48. https://doi.org/10.1007/s10016-001-0335-x
Faries, Peter L. ; Won, Jamie ; Morrissey, Nicholas J. ; Briggs, Vania L. ; Cadot, Hadley ; Carroccio, Alfio ; Teodorescu, Victoria ; Chae, Kristina S. ; Hollier, Larry H. ; Marin, Michael L. / Endovascular treatment of failed prior abdominal aortic aneurysm repair. In: Annals of Vascular Surgery. 2003 ; Vol. 17, No. 1. pp. 43-48.
@article{07182da5e93143d1bae8fdb0b1a2cc87,
title = "Endovascular treatment of failed prior abdominal aortic aneurysm repair",
abstract = "Failure of endovascular or conventional abdominal aortic aneurysm (AAA) repair may occur as a result of attachment site endoleak (type I) or paraanastomotic aneurysm and pseudoaneurysm formation. This study examined the results of the use of secondary endovascular grafts for the treatment of failed prior infrarenal AAA repair procedures. Forty-seven patients were treated with endovascular grafts. These included 14 patients with type I endoleaks (5 proximal, 8 distal, 1 proximal and distal) and 33 patients with paraanastomotic aneurysms after standard open surgical AAA repair (3 proximal aorta, 5 distal aorta, 21 iliac, 4 proximal and distal). The interval between the primary aortic procedure and the endovascular repair was significantly shorter for failed endovascular procedures (mean, 18.2 months; range, 1-42 months) than for failed conventional procedures (mean, 108.9 months; range, 12-216 months) (p < 0.01). The endovascular devices used for correction of the failed AAA repairs were Talent (23), physician-made (19), AneuRx (2), Vanguard (2), and Excluder (1). Transrenal fixation was used for repair of all proximal anastomotic failures. Mean follow-up after reintervention was 12.2 months in patients with failed endovascular grafts and 10.6 months in patients with failed conventional grafts. Patient demographics were as follows: average age, 78 years; 36 male and 11 female; and 4.1 comorbid medical conditions per patient. The endovascular graft was successfully deployed in all 47 cases; 1 patient experienced a persistent proximal attachment site endoleak after endograft deployment. Endovascular grafts may be used to treat previously failed endovascular and conventional AAA repair procedures with good short- and intermediate-term results. Endovascular treatments in these cases may avoid the difficulties of aortic reoperation or AAA repair in the setting of prior endovascular aortic grafting.",
author = "Faries, {Peter L.} and Jamie Won and Morrissey, {Nicholas J.} and Briggs, {Vania L.} and Hadley Cadot and Alfio Carroccio and Victoria Teodorescu and Chae, {Kristina S.} and Hollier, {Larry H.} and Marin, {Michael L.}",
year = "2003",
month = "1",
doi = "10.1007/s10016-001-0335-x",
language = "English (US)",
volume = "17",
pages = "43--48",
journal = "Annals of Vascular Surgery",
issn = "0890-5096",
publisher = "Elsevier Inc.",
number = "1",

}

TY - JOUR

T1 - Endovascular treatment of failed prior abdominal aortic aneurysm repair

AU - Faries, Peter L.

AU - Won, Jamie

AU - Morrissey, Nicholas J.

AU - Briggs, Vania L.

AU - Cadot, Hadley

AU - Carroccio, Alfio

AU - Teodorescu, Victoria

AU - Chae, Kristina S.

AU - Hollier, Larry H.

AU - Marin, Michael L.

PY - 2003/1

Y1 - 2003/1

N2 - Failure of endovascular or conventional abdominal aortic aneurysm (AAA) repair may occur as a result of attachment site endoleak (type I) or paraanastomotic aneurysm and pseudoaneurysm formation. This study examined the results of the use of secondary endovascular grafts for the treatment of failed prior infrarenal AAA repair procedures. Forty-seven patients were treated with endovascular grafts. These included 14 patients with type I endoleaks (5 proximal, 8 distal, 1 proximal and distal) and 33 patients with paraanastomotic aneurysms after standard open surgical AAA repair (3 proximal aorta, 5 distal aorta, 21 iliac, 4 proximal and distal). The interval between the primary aortic procedure and the endovascular repair was significantly shorter for failed endovascular procedures (mean, 18.2 months; range, 1-42 months) than for failed conventional procedures (mean, 108.9 months; range, 12-216 months) (p < 0.01). The endovascular devices used for correction of the failed AAA repairs were Talent (23), physician-made (19), AneuRx (2), Vanguard (2), and Excluder (1). Transrenal fixation was used for repair of all proximal anastomotic failures. Mean follow-up after reintervention was 12.2 months in patients with failed endovascular grafts and 10.6 months in patients with failed conventional grafts. Patient demographics were as follows: average age, 78 years; 36 male and 11 female; and 4.1 comorbid medical conditions per patient. The endovascular graft was successfully deployed in all 47 cases; 1 patient experienced a persistent proximal attachment site endoleak after endograft deployment. Endovascular grafts may be used to treat previously failed endovascular and conventional AAA repair procedures with good short- and intermediate-term results. Endovascular treatments in these cases may avoid the difficulties of aortic reoperation or AAA repair in the setting of prior endovascular aortic grafting.

AB - Failure of endovascular or conventional abdominal aortic aneurysm (AAA) repair may occur as a result of attachment site endoleak (type I) or paraanastomotic aneurysm and pseudoaneurysm formation. This study examined the results of the use of secondary endovascular grafts for the treatment of failed prior infrarenal AAA repair procedures. Forty-seven patients were treated with endovascular grafts. These included 14 patients with type I endoleaks (5 proximal, 8 distal, 1 proximal and distal) and 33 patients with paraanastomotic aneurysms after standard open surgical AAA repair (3 proximal aorta, 5 distal aorta, 21 iliac, 4 proximal and distal). The interval between the primary aortic procedure and the endovascular repair was significantly shorter for failed endovascular procedures (mean, 18.2 months; range, 1-42 months) than for failed conventional procedures (mean, 108.9 months; range, 12-216 months) (p < 0.01). The endovascular devices used for correction of the failed AAA repairs were Talent (23), physician-made (19), AneuRx (2), Vanguard (2), and Excluder (1). Transrenal fixation was used for repair of all proximal anastomotic failures. Mean follow-up after reintervention was 12.2 months in patients with failed endovascular grafts and 10.6 months in patients with failed conventional grafts. Patient demographics were as follows: average age, 78 years; 36 male and 11 female; and 4.1 comorbid medical conditions per patient. The endovascular graft was successfully deployed in all 47 cases; 1 patient experienced a persistent proximal attachment site endoleak after endograft deployment. Endovascular grafts may be used to treat previously failed endovascular and conventional AAA repair procedures with good short- and intermediate-term results. Endovascular treatments in these cases may avoid the difficulties of aortic reoperation or AAA repair in the setting of prior endovascular aortic grafting.

UR - http://www.scopus.com/inward/record.url?scp=0037284282&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0037284282&partnerID=8YFLogxK

U2 - 10.1007/s10016-001-0335-x

DO - 10.1007/s10016-001-0335-x

M3 - Article

VL - 17

SP - 43

EP - 48

JO - Annals of Vascular Surgery

JF - Annals of Vascular Surgery

SN - 0890-5096

IS - 1

ER -