Authors
Zatevavakhin I.I. 1, Matyushkin A.V.1, Mustafin A.H.1, Bogomazov I.Y.2, Zabadaeva O.B. 1, 2
1 N.I. Pirogov Russian National Research Medical University, Moscow
2 City Clinical Hospital №57, Moscow
Abstract
Endovascular technologies are becoming the milestone of treatment for aneurysmal disease of the abdominal aorta and ruptured aorta, evolving over time as an attractive alternative to open repair, especially for high risk patients. Many successful technical results have been achieved with this treatment, but long-term durability of the EVAR have been used remains controversial. An 74 year old presented to the Emergency Department with ruptured abdominal aortic aneurysm after EVAR because of a type IA endoleak. Open surgical repair was performed and the post-operative course was without complications. The current case underlines the value of open surgery in ruptures aorta after EVAR.
Keywords: сase report, EVAR, endoleak, abdominal aorta aneurysm, re-rupture.
References
1. Paravastu SC, Jayarajasingam R, Cottam R, et al. Endovascular repair of abdominal aortic aneurysm. Cochrane Database Syst Rev. 2014; 1: CD004178. doi: 10.1002/14651858.CD004178.pub2.
2. Geraedts ACM, de Mik S, Ubbink D, et al. Postoperative surveillance and long-term outcome after endovascular aortic aneurysm repair in the Netherlands: study protocol for the retrospective ODYSSEUS study. BMJ Open 2020; 10: e033584. doi:10.1136/ bmjopen-2019-033584.
3. Suckow BD, Goodney PP, Columbo JA, et al. National trends in open surgical, endovascular, and branched-fenestrated endovascular aortic aneurysm repair in Medicare patients. J Vasc Surg. 2018; 67(6): 1690-1697.e1. doi: 10.1016/j.jvs.2017.09.046.
4. Stather PW, Sidloff D, Dattani N, et al. Systematic review and meta-analysis of the early and late outcomes of open and endovascular repair of abdominal aortic aneurysm. Br J Surg. 2013; 100: 863-872. doi: 10.1002/bjs.9101.
5 Salata K, Hussain MA, de Mestral C, et al. Comparison of Outcomes in Elective Endovascular Aortic Repair vs Open Surgical Repair of Abdominal Aortic Aneurysms. JAMA Netw Open. 2019; 2: e196578. doi: 10.1001/jamanetworkopen.2019.6578.
6. Mehta M, Sternbach Y, Taggert JB, et al. Long-term outcomes of secondary procedures after endovascular aneurysm repair. J Vasc 9 Surg. 2010; 52: 1442-1449. doi: 10.1016/j.jvs.2010.06.110.
7. Peppelenbosch N, Buth J, Harris PL, et al. Diameter of abdominal aortic aneurysm and outcome of endovascular aneurysm repair: does size matter? A report from EUROST AR. J V asc Surg. 2004; 39: 288-297. doi: 10.1016/j.jvs.2003.09.047.
8. Lederle FA, Freischlag JA, Kyriakides TC, et al. Long-term comparison of endovascular and open repair of abdominal aortic aneurysm. N Engl J Med. 2012; 367: 1988-1997. doi:10.1056/NEJMoa1715955.
9. Antoniou GA, Georgiadis GS, Antoniou SA, et al. Late Rupture of Abdominal Aortic Aneurysm After Previous Endovascular Repair: A Systematic Review and Meta-analysis. J Endovasc Ther. 2015; 22: 734-744. doi: 10.1177/1526602815601405.
10. Sweeting MJ, Balm R, Desgranges P, et al. Ruptured Aneurysm Trialists. Individual-patient meta-analysis of three ran- domized trials comparing endovascular versus open repair for ruptured abdominal aortic aneurysm. Br J Surg 2015; 102: 1229e 39. doi: 10.1002/bjs.9852.
11. D’Oria M, Hanson KT, Shermerhorn M, et al. Short term and long term outcomes after endovas- cular or open repair for ruptured infrarenal abdominal aortic aneurysms in the vascular quality initiative. Eur J Vasc Endovasc Surg. 2020; 59(5): 703-716. doi: 10.1016/j. ejvs.2019.12.032.
12. Antoniou GA, Antoniou AA, Torella F. Endovascular vs Open repair for abdominal aortic aneurysm: systematic review and meta-analysis of updated Peri-operative and long-term data of randomized controlled trials, Eur J Vasc Endovasc Surg. 2020; 59(3): 385-397. doi: 10.1016/j.ejvs.2019.11.030.
13. Rajendran S, May J. Late rupture of abdominal aortic aneurysm after endovascular repair. J Vasc Surg. 2017; 65: 52-57. doi: 10.1016/j.jvs.2016.05.090.
14. Wyss TR, Brown LC, Powell JT, et al. Rate and predictability of graft rupture after endovascular and open abdominal aortic aneurysm repair: data from the EVAR Trials. Ann Surg. 2010; 252: 805-812. doi: 10.1097/SLA.0b013e318235dea4.
15.Powell JT, Sweeting MJ, Ulug P, et al. Meta-analysis of individual-patient data from EVAR-1, DREAM, OVER and ACE trials comparing outcomes of endovascular or open repair for abdominal aortic aneurysm over 5 years. Br J Surg. 2017; 104: 166-178. doi: 10.1002/bjs.10430.
16. Chen J, Stavropoulos SW. Management of endoleaks. Semin Intervent Radiol. 2015; 32(3): 259-64. doi: 10.1055/s-0035-1556825.
17. Greenhalgh RM, Brown LC, Kwong GP, et al. EVAR trial participants. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial. Lancet. 2004; 364(9437): 843-8. doi: 10.1016/ S0140-6736(04)16979-1.
18. Blankensteijn JD, de Jong SE, Prinssen M, et al; Dutch Randomized Endovascular Aneurysm Management (DREAM) Trial Group. Two-year outcomes after conventional or endovascular repair of abdominal aortic aneurysms. N Engl J Med. 2005; 352(23): 2398-405. doi: 10.1056/NEJMoa051255.
19. Becquemin JP, Pillet JC, Lescalie F, et al.ACE trialists. A randomized controlled trial of endovascular aneurysm repair versus open surgery for abdominal aortic aneurysms in low-to-moderate-risk patients. J Vasc Surg. 2011; 53(5): 1167-1173.e1. doi: 10.1016/j.jvs.2010.10.124.
20. Lederle FA, Freischlag JA, Kyriakides TC, et al. OVER Veterans Affairs Cooperative Study Group. Long-term comparison of endovascular and open repair of abdominal aortic aneurysm. N Engl J Med. 2012; 367(21): 1988-97. doi: 10.1056/NEJMoa1207481.
21. Goodney P, Mao J, Columbo J, et al. Use of linked registry claims data for long term surveillance of devices after endovascular abdominal aortic aneurysm repair: observational surveillance study. BMJ 2022; 379. doi: 10.1136/bmj-2022-071452.
22. Sen I, Kanzafarova I, Yonkus J, et al. Clinical presentation, operative management, and long-term outcomes of rupture after previous abdominal aortic aneurysm repair. J Vasc Surg. 2022; S0741-5214(22): 02148-6. doi: 10.1016/j.jvs.2022.08.005.
23. Sharafuddin MJ. In: Sidawy A, Perler B, editors. Rutherford’s vascular surgery and endovascular therapy. Philadelphia; 2022. p. 925.
