Description of Event or Problem · 1
A RESEARCH ARTICLE TITLED "SECONDARY AORTOENTERIC FISTULA AFTER ENDOVASCULAR AORTIC INTERVENTIONS: A SYSTEMATIC LITERATURE REVIEW" BY DR. DAVID BERGQVIST, DR. MARTIN BJORCK, AND PUBLISHED IN THE JOURNAL OF VASCULAR INTERVENTION AND RADIOLOGY (VOLUME 19, PAGES 163-165). THE REVIEW REVEALED 16 CASES OF AORTOENTERIC FISTULATION AFTER AORTIC STENT-GRAFTING OR STENT PLACEMENT, IN 14 PATIENTS WITH ABDOMINAL AORTIC ANEURYSM. SIX HAD UNDERGONE ENDOVASCULAR ANEURYSM REPAIR BECAUSE OF WHAT WAS CONSIDERED A "HOSTILE ABDOMEN." THE SYMPTOMS DID NOT DIFFER FROM THOSE IN PATIENTS WITH ARTERIOENTERIC FISTULATION AFTER OPEN AORTIC REPAIR. A DEFECT IN THE STENT-GRAFT OR ITS FUNCTION WAS THE PREDOMINANT CAUSE OF FISTULATION. ONE FISTULA WAS DIAGNOSED AT AUTOPSY, TWO PATIENTS DIED PERIOPERATIVELY AND 13 SURVIVED WITH IN SITU REPAIR OR AN AXILLOBIFEMORAL GRAFT, ALL AFTER REMOVAL OF THE STENT-GRAFT OR STENT. OF THE 6 ENDOVASCULAR ANEURYSM REPAIR CASES, THREE WERE IMPLANTED WITH AN ANCURE ENDOGRAFT.