Document Detail


Endoleaks following conventional open abdominal aortic aneurysm repair.
MedLine Citation:
PMID:  10753698     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: to describe the complication of <<<<endoleak>>>> following conventional open abdominal aortic aneurysm (AAA) repair. DESIGN: prospective case study. SETTING: two specialist vascular surgical centres. PATIENTS AND METHODS: six patients who had successful conventional open AAA repair. RESULTS: six patients presented with back or abdominal pain or hypotension between one and eighteen months later. An endoleak at the distal anastomosis was noted in five of the cases and one endoleak at the proximal anastomosis. All six cases were successfully repaired; two of these patients required Dacron graft replacement, whilst in four cases only direct resuturing was needed. There was no evidence of infection. CONCLUSIONS: an endoleak is not a phenomenon confined to stent grafts. It should be considered in all patients who present with back or abdominal pain within eighteen months of open AAA repair. The combination of computed tomography (CT) scan and digital subtraction angiography is most useful for preoperative diagnosis.
Authors:
C L Chan; S A Ray; P R Taylor; S C Fraser; A E Giddings
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  19     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2000 Mar 
Date Detail:
Created Date:  2000-05-10     Completed Date:  2000-05-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  313-7     Citation Subset:  IM    
Copyright Information:
Copyright 2000 Harcourt Publishers Ltd.
Affiliation:
Department of Surgery, Guy's & St Thomas' NHS Trust, London, UK.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / etiology
Aged
Aged, 80 and over
Anastomosis, Surgical / adverse effects*
Angiography, Digital Subtraction
Aortic Aneurysm, Abdominal / surgery*
Back Pain / etiology
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation / adverse effects*
Follow-Up Studies
Humans
Hypotension / etiology
Male
Middle Aged
Polyethylene Terephthalates
Prospective Studies
Reoperation
Suture Techniques
Tomography, X-Ray Computed
Treatment Outcome
Chemical
Reg. No./Substance:
0/Polyethylene Terephthalates

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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