Open or endovascular repair of aortoenteric fistulas? A multicentre comparative study

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dc.contributor.authorKakkos, S. K.en
dc.contributor.authorAntoniadis, P. N.en
dc.contributor.authorKlonaris, C. N.en
dc.contributor.authorPapazoglou, K. O.en
dc.contributor.authorGiannoukas, A. D.en
dc.contributor.authorMatsagkas, M. I.en
dc.contributor.authorKotsis, T.en
dc.contributor.authorDervisis, K.en
dc.contributor.authorGerasimidis, T.en
dc.contributor.authorTsolakis, I. A.en
dc.contributor.authorLiapis, C. D.en
dc.date.accessioned2015-11-24T19:00:50Z
dc.date.available2015-11-24T19:00:50Z
dc.identifier.issn1532-2165-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/19604
dc.rightsDefault Licence-
dc.subjectAgeden
dc.subjectAged, 80 and overen
dc.subject*Aorta, Abdominalen
dc.subjectAortic Diseases/diagnosis/*surgeryen
dc.subjectFemaleen
dc.subjectFollow-Up Studiesen
dc.subjectHumansen
dc.subjectIntestinal Fistula/diagnosis/*surgeryen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectRetrospective Studiesen
dc.subject*Stentsen
dc.subjectTomography, X-Ray Computeden
dc.subjectTreatment Outcomeen
dc.subjectVascular Fistula/diagnosis/*surgeryen
dc.subjectVascular Surgical Procedures/*methodsen
dc.titleOpen or endovascular repair of aortoenteric fistulas? A multicentre comparative studyen
heal.abstractOBJECTIVES: To compare aortoenteric fistula (AEF) outcome after endovascular (EV-AEFR) or open repair (O-AEFR). DESIGN: Multicentre retrospective comparative study. MATERIALS/METHODS: 25 patients with AEF (24 secondary, 23 males, median age 75 years) after aortic surgery (median four years). Preoperative sepsis was evident in 19 cases. Eight patients were managed with EV-AEFR and 17 with O-AEFR. RESULTS: The two groups were comparable in preoperative characteristics. In-hospital mortality after EV-AEFR was lower compared to O-AEFR (0% and 35%, respectively, p = 0.13). Similarly, morbidity after EV-AEFR was lower compared to O-AEFR (25% and 77%, respectively, p = 0.028). There was a trend for worse recurrence-free, sepsis-free, re-operation-free and AEF-related death-free rates after EV-AEFR, while the early survival advantage of EV-AEFR was lost after two years and the overall long-term survival rates (perioperative mortality included) of the two groups were similar. Preoperative sepsis had no effect on recurrence and sepsis-free rates (p = 0.94 and p = 0.92, respectively), but it was associated with worse two year overall survival (24% vs 50%, p = 0.32). On multivariate analysis, the number of symptoms (two vs one) at presentation was the single predictor of worse re-operation rates, AEF-related and overall survival. CONCLUSIONS: EV-AEFR was associated with no postoperative mortality in this study and can achieve satisfactory short and long-term results, comparable to O-AEFR. Further trials should focus on the role of EV-AEFR in patients at high risk for O-AEFR, due to shock or co-morbidities, or as a bridging procedure.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1016/j.ejvs.2010.12.026-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/21324718-
heal.identifier.secondaryhttp://ac.els-cdn.com/S1078588411000153/1-s2.0-S1078588411000153-main.pdf?_tid=5164bcfd68805885a40d4a2f66cd9b4d&acdnat=1333635190_733986c3e645893c46d7d5e8affc1e40-
heal.journalNameEur J Vasc Endovasc Surgen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2011-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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