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CC BY 4.0 · Aorta (Stamford) 2023; 11(04): 137-144
DOI: 10.1055/s-0043-1774724
Special Feature Article

Secondary Endovascular Conversions for Failed Open Repair

Ryan Gouveia e Melo
1   Vascular Surgery Department, Ludwig Maximilian University Hospital, Munich, Germany
,
Paolo Spath
1   Vascular Surgery Department, Ludwig Maximilian University Hospital, Munich, Germany
,
Jan Stana
1   Vascular Surgery Department, Ludwig Maximilian University Hospital, Munich, Germany
,
Carlota F. Prendes
1   Vascular Surgery Department, Ludwig Maximilian University Hospital, Munich, Germany
,
Konstantinous Stavroulakis
1   Vascular Surgery Department, Ludwig Maximilian University Hospital, Munich, Germany
,
Barbara Rantner
1   Vascular Surgery Department, Ludwig Maximilian University Hospital, Munich, Germany
,
Maximilian Pichlmaier
2   Cardiac Surgery Department, Ludwig Maximilian University Hospital, Munich, Germany
,
Nikolaos Tsilimparis
1   Vascular Surgery Department, Ludwig Maximilian University Hospital, Munich, Germany
› Author Affiliations Funding None.
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Abstract

Late aortic and graft-related complications after open aortic repair are not infrequent and a significant number of them are missed, diagnosed at a very late stage, or present as urgent complications such as aortic rupture or aorto-enteric fistula. Once a late complication is diagnosed and reintervention is necessary, both open and endovascular strategies are possible. Open reintervention is complex and usually associated with very high rates of morbidity and mortality. Endovascular techniques may offer several solutions for these cases, which may be tailored to the patient and specific complication. In this review, we aim to summarize current indications, options, and strategies for endovascular salvage after failed or complicated open surgical repair.

Keywords

late complication - open aortic repair - endovascular aortic repair - endovascular salvage


Publication History

Received: 04 August 2022

Accepted: 11 April 2023

Article published online:
10 November 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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