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Postoperative Complications

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Ruptured Abdominal Aortic Aneurysm

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References

Ischemic Colitis After Ruptured Abdominal Aortic Aneurysm Repair

  1. Shaw RS, Green TH. Massive mesenteric infarction following inferior mesenteric artery ligation in resection of the colon for carcinoma. N Engl J Med. 1953;248:890.

    Article  CAS  PubMed  Google Scholar 

  2. Boley SJ, Schwartz S, Lash J, Sternhill V. Reversible vascular occlusion of the colon. Surg Gynecol Obstet. 1963;116:53–60.

    CAS  PubMed  Google Scholar 

  3. Marston A, Pheils MT, Thomas ML, Morson BC. Ischemic colitis. Gut. 1966;7(1):1–15.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Perry RJ, Martin MJ, Eckert MJ, Sohn VY, Steele SR. Colonic ischemia complicating open vs endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2008;48(2):272–7.

    Article  PubMed  Google Scholar 

  5. Brandt LJ, Boley SJ. Colonic ischemia. Surg Clin N Am. 1992;72:203–29.

    Article  CAS  PubMed  Google Scholar 

  6. Tottrup M, Fedder AM, Jensen RH, Tottrup A, Laustsen J. The value of routine flexible sigmoidoscopy within 48 hours after surgical repair of ruptured abdominal aortic aneurysms. Ann Vasc Surg. 2013;27(6):714–8.

    Article  PubMed  Google Scholar 

  7. Bjorck M, Bergqvist D, Troeng T. Incidence and clinical presentation of bowel ischaemia after aortoiliac surgery – 2930 operations from a population-based registry in Sweden. Eur J Vasc Endovasc Surg Off J Eur Soc Vasc Surg. 1996;12(2):139–44.

    Article  CAS  Google Scholar 

  8. Sandison AJ, Panayiotopoulos Y, Edmondson RC, Tyrrell MR, Taylor PR. A 4-year prospective audit of the cause of death after infrarenal aortic aneurysm surgery. Br J Surg. 1996;83(10):1386–9.

    Article  CAS  PubMed  Google Scholar 

  9. Longo WE, Ballantyne GH, Gusberg RJ. Ischemic colitis: patterns and prognosis. Dis Colon Rectum. 1992;35(8):726–30.

    Article  CAS  PubMed  Google Scholar 

  10. Longo WE, Lee TC, Barnett MG, et al. Ischemic colitis complicating abdominal aortic aneurysm surgery in the U.S. veteran. J Surg Res. 1996;60(2):351–4.

    Article  CAS  PubMed  Google Scholar 

  11. Gandhi SK, Hanson MM, Vernava AM, Kaminski DL, Longo WE. Ischemic colitis. Dis Colon Rectum. 1996;39(1):88–100.

    Article  CAS  PubMed  Google Scholar 

  12. Yamazaki T, Shirai Y, Tada T, Sasaki M, Sakai Y, Hatakeyama K. Ischemic colitis arising in watershed areas of the colonic blood supply: a report of two cases. Surg Today. 1997;27(5):460–2.

    Article  CAS  PubMed  Google Scholar 

  13. Assadian A, Assadian O, Senekowitsch C, et al. Plasma D-lactate as a potential early marker for colon ischaemia after open aortic reconstruction. Eur J Vasc Endovasc Surg. 2006;31(5):470–4.

    Article  CAS  PubMed  Google Scholar 

  14. Neary P. Gastrointestinal complications of abdominal aortic aneurysms, diagnosis, screening and treatment of abdominal, thoracoabdominal and thoracic aortic aneurysms, Prof Reinhart Grundmann, editors. 2011(Chapter 2.3):245–68.

    Google Scholar 

  15. Neary P, Hurson C, Briain DO, Brabazon A, Mehigan D, Keaveny TV, et al. Abdominal aortic aneurysm repair and colonic infarction: a risk factor appraisal. Colorectal Dis Off J Assoc Coloproctol Great Britain Ireland. 2007;9(2):166–72.

    Article  CAS  Google Scholar 

  16. Becquemin JP, Majewski M, Fermani N, Marzelle J, Desgrandes P, Allaire E, et al. Colon ischemia following abdominal aortic aneurysm repair in the era of endovascular abdominal aortic repair. J Vasc Surg. 2008;47(2):258–63; discussion 63.

    Article  PubMed  Google Scholar 

  17. Reimerink JJ, Hoornweg LL, Vahl AC, Wisselink W, van den Broek TA, Legemate DA, et al. Endovascular repair versus open repair of ruptured abdominal aortic aneurysms: a multicenter randomized controlled trial. Ann Surg. 2013;258(2):248–56.

    Article  PubMed  Google Scholar 

  18. Welborn 3rd MB, Seeger JM. Prevention and management of sigmoid and pelvic ischemia associated with aortic surgery. Semin Vasc Surg. 2001;14(4):255–65.

    Article  PubMed  Google Scholar 

  19. Senekowitsch C, Assadian A, Assadian O, Hartleb H, Ptakovsky H, Hagmuller GW. Replanting the inferior mesentery artery during infrarenal aortic aneurysm repair: influence on postoperative colon ischemia. J Vasc Surg. 2006;43(4):689–94.

    Article  PubMed  Google Scholar 

  20. Redaelli CA, Schilling MK, Carrel TP. Intraoperative assessment of intestinal viability by laser Doppler flowmetry for surgery of ruptured abdominal aortic aneurysms. World J Surg. 1998;22(3):283–9.

    Article  CAS  PubMed  Google Scholar 

  21. Yamamoto M, Sasaguri S, Sato T. Assessing intraoperative blood flow in cardiovascular surgery. Surg Today. 2011;41(11):1467–74.

    Article  PubMed  Google Scholar 

  22. Boni L, David G, Mangano A, Dionigi G, Rausei S, Spampatti S, Cassinotti E, Fingerhut A. Clinical applications of indocyanine green (ICG) enhanced fluorescence in laparoscopic surgery. Surg Endosc. 2014;29:2046–55. [Epub ahead of print].

    Article  PubMed  PubMed Central  Google Scholar 

  23. Lee ES, Bass A, Arko FR, Heikkinen M, Harris EJ, Zarins CK, et al. Intraoperative colon mucosal oxygen saturation during aortic surgery. J Surg Res. 2006;136(1):19–24.

    Article  PubMed  Google Scholar 

  24. Bjorck M, Troeng T, Bergqvist D. Risk factors for intestinal ischaemia after aortoiliac surgery: a combined cohort and case–control study of 2824 operations. Eur J Vasc Endovasc Surg Off J Eur Soc Vasc Surg. 1997;13(6):531–9.

    Article  CAS  Google Scholar 

  25. Dadian N, Ohki T, Veith FJ, Edelman M, Mehta M, Lipsitz EC, et al. Overt colon ischemia after endovascular aneurysm repair: the importance of microembolization as an etiology. J Vasc Surg. 2001;34(6):986–96.

    Article  CAS  PubMed  Google Scholar 

  26. Mehta M, Veith FJ, Ohki T, Cynamon J, Goldstein K, Suggs WD, et al. Unilateral and bilateral hypogastric artery interruption during aortoiliac aneurysm repair in 154 patients: a relatively innocuous procedure. J Vasc Surg. 2001;33(2 Suppl):S27–32.

    Article  CAS  PubMed  Google Scholar 

  27. Wolpert LM, Dittrich KP, Hallisey MJ, Allmendinger PP, Gallagher JJ, Heydt K, et al. Hypogastric artery embolization in endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2001;33(6):1193–8.

    Article  CAS  PubMed  Google Scholar 

  28. Arko FR, Lee WA, Hill BB, Fogarty TJ, Zarins CK. Hypogastric artery bypass to preserve pelvic circulation: improved outcome after endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2004;39(2):404–8.

    Article  PubMed  Google Scholar 

  29. Karch LA, Hodgson KJ, Mattos MA, Bohannon WT, Ramsey DE, McLafferty RB. Adverse consequences of internal iliac artery occlusion during endovascular repair of abdominal aortic aneurysms. J Vasc Surg. 2000;32(4):676–83.

    Article  CAS  PubMed  Google Scholar 

  30. Ernst CB, Hagihara PF, Daughtery ME, Sachatello CR, Griffen Jr WO. Ischemic colitis incidence following abdominal aortic reconstruction: a prospective study. Surgery. 1976;80(4):417–21.

    CAS  PubMed  Google Scholar 

  31. Israeli D, Dardik H, Wolodiger F, Silvestri F, Scherl B, Chessler R. Pelvic radiation therapy as a risk factor for ischemic colitis complicating abdominal aortic reconstruction. J Vasc Surg. 1996;23(4):706–9.

    Article  CAS  PubMed  Google Scholar 

  32. Balthazar EJ, Yen BC, Gordon RB. Ischemic colitis: CT evaluation of 54 cases. Radiology. 1999;211:381–8.

    Article  CAS  PubMed  Google Scholar 

  33. Brandt CP, Piotrowski JJ, Alexander JJ. Flexible sigmoidoscopy. A reliable determinant of colonic ischemia following ruptured abdominal aortic aneurysm. Surg Endosc. 1997;11(2):113–5.

    Article  Google Scholar 

  34. Macdonald PH. Ischaemic colitis. Best Pract Res Clin Gastroenterol. 2002;16:51–61.

    Article  CAS  PubMed  Google Scholar 

  35. Steele SR. Ischemic colitis complicating major vascular surgery. Surg Clin North Am. 2007;87(5):1099–114, ix.

    Article  PubMed  Google Scholar 

  36. Megalopoulos A, Vasiliadis K, Tsalis K, Kapetanos D, Bitzani M, Tsachalis T, et al. Reliability of selective surveillance colonoscopy in the early diagnosis of colonic ischemia after successful ruptured abdominal aortic aneurysm repair. Vasc Endovascular Surg. 2007;41(6):509–15.

    Article  PubMed  Google Scholar 

  37. Champagne BJ, Darling 3rd RC, Daneshmand M, Kreienberg PB, Lee EC, Mehta M, et al. Outcome of aggressive surveillance colonoscopy in ruptured abdominal aortic aneurysm. J Vasc Surg. 2004;39(4):792–6.

    Article  PubMed  Google Scholar 

  38. Houe T, Thorboll JE, Sigild U, Liisberg-Larsen O, Schroeder TV. Can colonoscopy diagnose transmural ischaemic colitis after abdominal aortic surgery? An evidence-based approach. Eur J Vasc Endovasc Surg Off J Eur Soc Vasc Surg. 2000;19(3):304–7.

    Article  CAS  Google Scholar 

  39. Scharff JR, Longo WE, Vartanian SM, et al. Ischemic colitis: spectrum of disease and outcome. Surgery. 2003;134:624–30.

    Article  PubMed  Google Scholar 

  40. Schneider DB, Nelken NA, Messina LM, Ehrenfeld WK. Isolated inferior mesenteric artery revascularization for chronic visceral ischemia. J Vasc Surg. 1999;30(1):51–8.

    Article  CAS  PubMed  Google Scholar 

  41. Rapp JH, Reilly LM, Qvarfordt PG, Goldstone J, Ehrenfeld WK, Stoney RJ. Durability of endarterectomy and antegrade grafts in the treatment of chronic visceral ischemia. J Vasc Surg. 1986;3(5):799–806.

    Article  CAS  PubMed  Google Scholar 

  42. Bailey JA, Jacobs DL, Bahadursingh A, Longo WE. Endovascular treatment of segmental ischemic colitis. Dig Dis Sci. 2005;50(4):774–9.

    Article  PubMed  Google Scholar 

Abdominal compartment syndrome following ruptured abdominal aortic aneurysm

  1. Malbrain ML, Cheatham ML, Kirkpatrick A, Sugrue M, Parr M, de Waele J, et al. Results from the International Conference Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. I Definitions. Intensive Care Med. 2006;32:1722–32.

    Article  PubMed  Google Scholar 

  2. Cheatham ML, Malbrain ML, Kirkpatrick A, Sugrue M, Parr M, de Waele J, et al. Results from the International Conference Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. II Recommendations. Intensive Care Med. 2007;33:951–62.

    Article  PubMed  Google Scholar 

  3. Kron IL, Harmon PK, Nolan SP. The measurement of intra-abdominal pressure as a criterion for abdominal re-exploration. Ann Surg. 1984;199:28–30.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Björck M, Hedberg B. Early detection of major complications after abdominal aortic surgery: predictive value of sigmoid colon and gastric intramucosal pH monitoring. Br J Surg. 1994;81:25–30.

    Article  PubMed  Google Scholar 

  5. Björck M, Troëng T, Bergqvist D. Risk factors for intestinal ischaemia after aortoiliac surgery. A combined cohort and case–control study of 2824 operations. Eur J Vasc Endovasc Surg. 1997;13:531–9.

    Article  PubMed  Google Scholar 

  6. Björck M, Broman G, Lindberg F, Bergqvist D. pHi-monitoring of the sigmoid colon after aortoiliac surgery. A five-year prospective study. Eur J Vasc Endovasc Surg. 2000;20:273–80.

    Article  PubMed  Google Scholar 

  7. Makar RR, Badger SA, O’Donell ME, Loan W, Lau LL, Soong CV. The effects of abdominal compartment hypertension after open and endovascular repair of a ruptured abdominal aortic aneurysm. J Vasc Surg. 2009;49:866–72.

    Article  PubMed  Google Scholar 

  8. Djavani K, Wanhainen A, Valtysson J, Björck M. Colonic ischaemia and intra-abdominal hypertension following open repair of ruptured abdominal aortic aneurysm. Br J Surg. 2009;96:621–7.

    Article  CAS  PubMed  Google Scholar 

  9. Mayer D, Rancic Z, Meier C, Pfammatter T, Veith FJ, Lachat M. Open abdomen treatment following endovascular repair of ruptured abdominal aortic aneurysms. J Vasc Surg. 2009;50(1):1–7.

    Article  PubMed  Google Scholar 

  10. Kirkpatrick A, Roberts DJ, De Waele J, Jaeschke R, Malbrain ML, De Kuelenaer B, Duchesne J, Björck M, et al. Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the world society of the abdominal compartment syndrome. Intensive Care Med. 2013;39:1190–206.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Platell CF, Hall J, Clarke G, Lawrence-Brown M. Intra-abdominal pressure and renal function after surgery to the abdominal aorta. Aust N Z J Surg. 1990;60:213–6.

    Article  CAS  PubMed  Google Scholar 

  12. Djavani K, Wanhainen A, Björck M. Intra-abdominal hypertension and abdominal compartment syndrome following surgery for ruptured abdominal aortic aneurysm. Eur J Vasc Endovasc Surg. 2006;31:581–4.

    Article  CAS  PubMed  Google Scholar 

  13. Djavani-Gidlund K, Wanhainen A, Björck M. Intraabdominal hypertension and abdominal compartment syndrome after endovascular repair of ruptured abdominal aortic aneurysm. Eur J Vasc Endovasc Surg. 2011;41:742–7.

    Article  CAS  PubMed  Google Scholar 

  14. Balogh Z, McKinley BA, Cocanour CS, Kozar RA, Valdivia A, Sailors RM, et al. Supra-normal trauma resuscitation causes more cases of abdominal compartment syndrome. Arch Surg. 2003;138:637–43.

    Article  PubMed  Google Scholar 

  15. Mell MW, O’Neil AS, Callcut RA, Acher CW, Hoch JR, Tefera G, Turnipseed WD. Effect of early plasma transfusion on mortality in patients with ruptured abdominal aortic aneurysm. Surgery. 2010;148:955–62.

    Article  PubMed  Google Scholar 

  16. Volodos NL, Shekhanin VE, Karpovich IP, Troian VI, Gur’ev IA. [A self-fixing synthetic blood vessel endoprosthesis]. Vestn Khir Im I I Grek. 1986;137:123–5.

    CAS  PubMed  Google Scholar 

  17. Volodos NL. The 30th anniversary of the first clinical application of endovascular stentgrafting. Eur J Vasc Endovasc Surg. 2015;49:495–7.

    Article  CAS  PubMed  Google Scholar 

  18. Ohki T, Veith FJ. Endovascular grafts and other image-guided catheter-based adjuncts to improve the treatment of ruptured aortoiliac aneurysms. Ann Surg. 2000;232:466–79.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Sörelius K, Wanhainen A, Acosta S, Svensson M, Djavani-Gidlund K, Björck M. Open abdomen treatment after aortic aneurysm repair with vacuum-assisted wound closure and mesh-mediated fascial traction. Eur J Vasc Endovasc Surg. 2013;45:588–94.

    Article  PubMed  Google Scholar 

  20. Ersryd S, Djavani-Gidlund K, Wanhainen A, Björck M. Editor’s choice: Abdominal compartment syndrome after surgery for abdominal aortic aneurysm: a nationwide population-based study. Eur J Vasc Endovasc Surg. 2016; 52:158–165.

    Google Scholar 

  21. Hörer T, Skoog P, Pirouzram A, Larzon T. Tissue plasminogen activator–assisted hematoma evacuation to relieve abdominal compartment syndrome after endovascular repair of ruptured abdominal aortic aneurysm. J Endovasc Ther. 2012;19:144–8.

    Article  PubMed  Google Scholar 

  22. Reintam Blaser A, Starkopf J. Should we use early enteral nutrition in all intensive care patients? Int J Abdom Res. 2013;1:59–63.

    Google Scholar 

  23. Reintam Blaser A, Björck M, De Keulenaer B, Regli A. Abdominal compliance: a bench-to-bedside review. J Trauma Acute Care Surg. 2015;78:1044–53.

    Article  Google Scholar 

  24. Abouassaly CT, Dutton WD, Zaydfudim V, Dossett LA, Nunez TC, Fleming SB, Cotton BA. Postoperative neuromuscular blocker use is associated with higher primary fascial closure rates after damage control laparotomy. J Trauma. 2010;69:557–61.

    Article  CAS  PubMed  Google Scholar 

  25. Papazian L, Forel J-M, Gacouin A, et al. Neuromuscular blockers in early respiratory distress syndrome. N Engl J Med. 2010;363:1107–16.

    Article  CAS  PubMed  Google Scholar 

  26. DeWaele JJ, Kimball E, Malbrain M, Nesbitt, Cohen J, Kaloiani V, Ivantury R, Mone M, Debergh D, Bjorck. Laparotomy for Abdominal Compartment Syndrome. Br J Surg. 2016;103:709–15.

    Google Scholar 

  27. Oelschlager BK, Boyle EM, Johansen K, Meissner MH. Delayed abdominal closure in the management of ruptured abdominal aortic aneurysms. Am J Surg. 1997;172:411–5.

    Article  Google Scholar 

  28. Björck M, Wanhainen A. Management of abdominal compartment syndrome and the open abdomen. Eur J Vasc Endovasc Surg. 2014;47:279–87.

    Article  PubMed  Google Scholar 

  29. Björck M, Wanhainen A, Djavani K, Acosta S. The clinical importance of monitoring intra-abdominal pressure after ruptured abdominal aortic aneurysm repair. Scand J Surg. 2008;97:183–90.

    Article  PubMed  Google Scholar 

  30. Björck M. Management of the tense abdomen or difficult abdominal closure following operation for ruptured AAA. Semin Vasc Surg. 2012;25:35–8.

    Article  PubMed  Google Scholar 

  31. Björck M, Bruhin A, Cheatham M, Hinck D, Kaplan M, Manca G, Wild T, Windsor A. Classification, an important step to improve the management of patients with an open abdomen. World J Surg. 2009;33:1154–7.

    Article  PubMed  Google Scholar 

  32. Björck M, D’Amours SK, Hamilton AER. Closure of the open abdomen. Am Surg. 2011;77:S58–61.

    PubMed  Google Scholar 

  33. Rasilainen SK, Mentula PJ, Leppäniemi AK. Microbial colonization of open abdomen in critically ill surgical patients. World J Emerg Surg. 2015;10:25.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Boele van Hensbroek P, Wind J, Dijkgraaf MG, Busch OR, Goslings JC. Temporary closure of the abdomen: a systematic review on delayed primary fascial closure in patients with an open abdomen. World J Surg. 2009;33:199–207.

    Article  PubMed  Google Scholar 

  35. Brock WB, Barker DE, Burns RP. Temporary closure of open abdominal wounds: the vacuum pack. Am Surg. 1995;61:30–5.

    CAS  PubMed  Google Scholar 

  36. Petersson U, Acosta S, Björck M. Vacuum-assisted wound closure and mesh-mediated fascial traction – a novel technique for late closure of the open abdomen. World J Surg. 2007;31:2133–7.

    Article  PubMed  Google Scholar 

  37. Acosta S, Bjarnason T, Pettersson U, Pålsson B, Wanhainen A, Svensson M, Djavani K, Björck M. Multicentre prospective study of fascial closure rate after open abdomen with vacuum and mesh-mediated fascial traction. Br J Surg. 2011;98:735–43.

    Article  CAS  PubMed  Google Scholar 

  38. Seternes A, Myhre HO, Dahl T. Early results after treatment of open abdomen after aortic surgery with mesh traction and vacuum-assisted wound closure. Eur J Vasc Endovasc Surg. 2010;40:60–4.

    Article  CAS  PubMed  Google Scholar 

  39. Rasilainen SK, Mentula PJ, Leppäniemi AK. Vacuum and mesh-mediated fascial traction for primary closure of the open abdomen in critically ill surgical patients. Br J Surg. 2012;99:1725–32.

    Article  CAS  PubMed  Google Scholar 

  40. Mani K, Björck M, Wanhainen A. Changes in the management of infrarenal abdominal aortic aneurysm disease in Sweden. Br J Surg. 2013;100:638–44.

    Article  CAS  PubMed  Google Scholar 

Spinal Cord Protection in Emergency Aortic Surgery

  1. Ullery BW, Cheung AT, Fairman RM, et al. Risk factors, outcomes, and clinical manifestations of spinal cord ischemia following thoracic endovascular aortic repair. J Vasc Surg. 2011;54(3):677–84.

    Article  PubMed  Google Scholar 

  2. Wong CS, Healy D, Canning C, Coffey JC, Boyle JR, Walsh SR. A systematic review of spinal cord injury and cerebrospinal fluid drainage after thoracic aortic endografting. J Vasc Surg. 2012;56(5):1438–47.

    Article  PubMed  Google Scholar 

  3. Amabile P, Grisoli D, Giorgi R, Bartoli JM, Piquet P. Incidence and determinants of spinal cord ischaemia in stent-graft repair of the thoracic aorta. Eur J Vasc Endovasc Surg. 2008;35(4):455–61.

    Article  CAS  PubMed  Google Scholar 

  4. Estrera AL, Miller 3rd CC, Huynh TT, et al. Preoperative and operative predictors of delayed neurologic deficit following repair of thoracoabdominal aortic aneurysm. J Thorac Cardiovasc Surg. 2003;126(5):1288–94.

    Article  PubMed  Google Scholar 

  5. Buth J, Harris PL, Hobo R, et al. Neurologic complications associated with endovascular repair of thoracic aortic pathology: Incidence and risk factors. a study from the European Collaborators on Stent/Graft Techniques for Aortic Aneurysm Repair (EUROSTAR) registry. J Vasc Surg. 2007;46(6):1103–10; discussion 1110–1101.

    Article  PubMed  Google Scholar 

  6. Czerny M, Eggebrecht H, Sodeck G, et al. Mechanisms of symptomatic spinal cord ischemia after TEVAR: insights from the European Registry of Endovascular Aortic Repair Complications (EuREC). J Endovasc Ther. 2012;19(1):37–43.

    Article  PubMed  Google Scholar 

  7. Desai ND, Pochettino A, Szeto WY, et al. Thoracic endovascular aortic repair: evolution of therapy, patterns of use, and results in a 10-year experience. J Thorac Cardiovasc Surg. 2011;142(3):587–94.

    Article  PubMed  Google Scholar 

  8. Augoustides JG, Stone ME, Drenger B. Novel approaches to spinal cord protection during thoracoabdominal aortic interventions. Curr Opin Anaesthesiol. 2014;27(1):98–105.

    Article  PubMed  Google Scholar 

  9. Cheung AT, Pochettino A, McGarvey ML, et al. Strategies to manage paraplegia risk after endovascular stent repair of descending thoracic aortic aneurysms. Ann Thorac Surg. 2005;80(4):1280–8; discussion 1288–1289.

    Article  PubMed  Google Scholar 

  10. Feezor RJ, Lee WA. Strategies for detection and prevention of spinal cord ischemia during TEVAR. Semin Vasc Surg. 2009;22(3):187–92.

    Article  PubMed  Google Scholar 

  11. Hnath JC, Mehta M, Taggert JB, et al. Strategies to improve spinal cord ischemia in endovascular thoracic aortic repair: outcomes of a prospective cerebrospinal fluid drainage protocol. J Vasc Surg. 2008;48(4):836–40.

    Article  PubMed  Google Scholar 

  12. Keith Jr CJ, Passman MA, Carignan MJ, et al. Protocol implementation of selective postoperative lumbar spinal drainage after thoracic aortic endograft. J Vasc Surg. 2012;55(1):1–8; discussion 8.

    Article  PubMed  Google Scholar 

  13. Uchida N. How to prevent spinal cord injury during endovascular repair of thoracic aortic disease. Gen Thorac Cardiovasc Surg. 2014;62(7):391–7.

    Article  PubMed  Google Scholar 

  14. Bobadilla JL, Wynn M, Tefera G, Acher CW. Low incidence of paraplegia after thoracic endovascular aneurysm repair with proactive spinal cord protective protocols. J Vasc Surg. 2013;57(6):1537–42.

    Article  PubMed  Google Scholar 

  15. Riambau V, Capoccia L, Mestres G, Matute P. Spinal cord protection and related complications in endovascular management of B dissection: LSA revascularization and CSF drainage. Ann Cardiothorac Surg. 2014;3(3):336–8.

    PubMed  PubMed Central  Google Scholar 

  16. Matsumura JS, Lee WA, Mitchell RS, et al. The Society for Vascular Surgery Practice Guidelines: management of the left subclavian artery with thoracic endovascular aortic repair. J Vasc Surg. 2009;50(5):1155–8.

    Article  PubMed  Google Scholar 

  17. Weigang E, Hartert M, Siegenthaler MP, et al. Perioperative management to improve neurologic outcome in thoracic or thoracoabdominal aortic stent-grafting. Ann Thorac Surg. 2006;82(5):1679–87.

    Article  PubMed  Google Scholar 

  18. Etz CD, Weigang E, Hartert M, et al. Contemporary spinal cord protection during thoracic and thoracoabdominal aortic surgery and endovascular aortic repair: a position paper of the vascular domain of the European Association for Cardio-Thoracic Surgerydagger. Eur J Cardiothorac Surg. 2015;47(6):943–57.

    Article  PubMed  Google Scholar 

Multisystem Organ Failure After Ruptured Abdominal Aortic Aneurysm

  1. Investigators IT, et al. Endovascular or open repair strategy for ruptured abdominal aortic aneurysm: 30 day outcomes from IMPROVE randomised trial. BMJ. 2014;348:f7661.

    Article  Google Scholar 

  2. Starnes BW, et al. Management of ruptured abdominal aortic aneurysm in the endovascular era. J Vasc Surg. 2010;51(1):9–17; discussion 17–8.

    Article  PubMed  Google Scholar 

  3. Johansen K, et al. Ruptured abdominal aortic aneurysm: the Harborview experience. J Vasc Surg. 1991;13(2):240–5; discussion 245–7.

    Article  CAS  PubMed  Google Scholar 

  4. Bown MJ, et al. Cytokines and inflammatory pathways in the pathogenesis of multiple organ failure following abdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg. 2001;22(6):485–95.

    Article  CAS  PubMed  Google Scholar 

  5. Bown MJ, et al. The systemic inflammatory response syndrome, organ failure, and mortality after abdominal aortic aneurysm repair. J Vasc Surg. 2003;37(3):600–6.

    Article  CAS  PubMed  Google Scholar 

  6. Hietbrink F, et al. Kinetics of the innate immune response after trauma: implications for the development of late onset sepsis. Shock. 2013;40(1):21–7.

    Article  CAS  PubMed  Google Scholar 

  7. Asehnoune K, Roquilly A, Abraham E. Innate immune dysfunction in trauma patients: from pathophysiology to treatment. Anesthesiology. 2012;117(2):411–6.

    Article  PubMed  Google Scholar 

  8. Kasten KR, et al. Divergent adaptive and innate immunological responses are observed in humans following blunt trauma. BMC Immunol. 2010;11:4.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  9. Adams JM, et al. Early trauma polymorphonuclear neutrophil responses to chemokines are associated with development of sepsis, pneumonia, and organ failure. J Trauma. 2001;51(3):452–6; discussion 456–7.

    CAS  PubMed  Google Scholar 

  10. Harkin DW, et al. Complement C5a receptor antagonist attenuates multiple organ injury in a model of ruptured abdominal aortic aneurysm. J Vasc Surg. 2004;39:196–206.

    Article  PubMed  Google Scholar 

  11. Mehta M, et al. Endovascular repair of ruptured infrarenal abdominal aortic aneurysm is associated with lower 30-day mortality and better 5-year survival rates than open surgical repair. J Vasc Surg. 2013;57(2):368–75.

    Article  PubMed  Google Scholar 

  12. Vincent JL, et al. The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine. Intensive Care Med. 1996;22(7):707–10.

    Article  CAS  PubMed  Google Scholar 

  13. Le Gall JR, Lemeshow S, Saulnier F. A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study. JAMA. 1993;270(24):2957–63.

    Article  PubMed  Google Scholar 

  14. Miranda DR, de Rijk A, Schaufeli W. Simplified therapeutic intervention scoring system: the TISS-28 items – results from a multicenter study. Crit Care Med. 1996;24(1):64–73.

    Article  CAS  PubMed  Google Scholar 

  15. Krenzien F, et al. Early prediction of survival after open surgical repair of ruptured abdominal aortic aneurysms. BMC Surg. 2014;14:92.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Xiao W, et al. A genomic storm in critically injured humans. J Exp Med. 2011;208(13):2581–90.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Mastracci TM, et al. Endovascular repair of ruptured abdominal aortic aneurysms: a systematic review and meta-analysis. J Vasc Surg. 2008;47(1):214–21.

    Article  PubMed  Google Scholar 

  18. Lesperance K, et al. Expanding use of emergency endovascular repair for ruptured abdominal aortic aneurysms: disparities in outcomes from a nationwide perspective. J Vasc Surg. 2008;47(6):1165–70; discussion 1170–1.

    Article  PubMed  Google Scholar 

  19. Ullery BW, et al. Association of an endovascular-first protocol for ruptured abdominal aortic aneurysms with survival and discharge disposition. JAMA Surg. 2015;150:1058–65.

    Article  PubMed  Google Scholar 

  20. Wallace GA, et al. Favorable discharge disposition and survival after successful endovascular repair of ruptured abdominal aortic aneurysm. J Vasc Surg. 2013;57(6):1495–502.

    Article  PubMed  Google Scholar 

  21. McPhee J, et al. Endovascular treatment of ruptured abdominal aortic aneurysms in the United States (2001–2006): a significant survival benefit over open repair is independently associated with increased institutional volume. J Vasc Surg. 2009;49(4):817–26.

    Article  PubMed  Google Scholar 

  22. Giles KA, et al. Decrease in total aneurysm-related deaths in the era of endovascular aneurysm repair. J Vasc Surg. 2009;49(3):543–50; discussion 550–1.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Mureebe L, et al. National trends in the repair of ruptured abdominal aortic aneurysms. J Vasc Surg. 2008;48(5):1101–7.

    Article  PubMed  Google Scholar 

  24. Mani K, Bjorck M, Wanhainen A. Changes in the management of infrarenal abdominal aortic aneurysm disease in Sweden. Br J Surg. 2013;100(5):638–44.

    Article  CAS  PubMed  Google Scholar 

  25. McHugh SM, et al. Endovascular versus open repair of ruptured abdominal aortic aneurysm. Surgeon. 2015.

    Google Scholar 

  26. Sayers R. Aortic Aneurysms, inflammatory pathways and Nitric Oxide. Ann R Coll Surg Engl. 2002;2002(84):239–46.

    Article  Google Scholar 

  27. El-Sabrout RA, Reul GJ. Suprarenal or supraceliac aortic clamping during repair of infrarenal abdominal aortic aneurysms. Tex Heart Inst J. 2001;28(4):254–64.

    CAS  PubMed  PubMed Central  Google Scholar 

  28. Visser JJ, et al. Endovascular repair versus open surgery in patients with ruptured abdominal aortic aneurysms: clinical outcomes with 1-year follow-up. J Vasc Surg. 2006;44(6):1148–55.

    Article  PubMed  Google Scholar 

  29. An G, West MA. Abdominal compartment syndrome: a concise clinical review. Crit Care Med. 2008;36(4):1304–10.

    Article  PubMed  Google Scholar 

  30. Oelschlager BK, et al. Delayed abdominal closure in the management of ruptured abdominal aortic aneurysms. Am J Surg. 1997;173(5):411–5.

    Article  CAS  PubMed  Google Scholar 

  31. Mehta M, et al. Factors associated with abdominal compartment syndrome complicating endovascular repair of ruptured abdominal aortic aneurysms. J Vasc Surg. 2005;42(6):1047–51.

    Article  PubMed  Google Scholar 

  32. Becquemin JP, et al. Colon ischemia following abdominal aortic aneurysm repair in the era of endovascular abdominal aortic repair. J Vasc Surg. 2008;47(2):258–63; discussion 263.

    Article  PubMed  Google Scholar 

  33. Greco G, et al. Outcomes of endovascular treatment of ruptured abdominal aortic aneurysms. J Vasc Surg. 2006;43(3):453–9.

    Article  PubMed  Google Scholar 

  34. Johnston KW. Ruptured abdominal aortic aneurysm: six-year follow-up results of a multicenter prospective study. Canadian Society for Vascular Surgery Aneurysm Study Group. J Vasc Surg. 1994;19(5):888–900.

    Article  CAS  PubMed  Google Scholar 

  35. Noel AA, et al. Ruptured abdominal aortic aneurysms: the excessive mortality rate of conventional repair. J Vasc Surg. 2001;34(1):41–6.

    Article  CAS  PubMed  Google Scholar 

  36. Gierek D, et al. Perioperative prognostic factors in patients with ruptured abdominal aortic aneurysms treated in the intensive care unit. Anaesth Intensive Care. 2013;45(1):25–9.

    Google Scholar 

  37. Ambler GK, et al. Incidence and outcomes of severe renal impairment following ruptured abdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg. 2015;50:443–9.

    Article  CAS  PubMed  Google Scholar 

  38. Maldonado TS, et al. Ischemic complications after endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2004;40(4):703–9; discussion 709–10.

    Article  PubMed  Google Scholar 

  39. Peppelenbosch N, et al. Emergency endovascular treatment for ruptured abdominal aortic aneurysm and the risk of spinal cord ischemia. J Vasc Surg. 2005;42(4):608–14.

    Article  PubMed  Google Scholar 

  40. Nathens AB, Brunet FP, Maier RV. Development of trauma systems and effect on outcomes after injury. Lancet. 2004;363(9423):1794–801.

    Article  PubMed  Google Scholar 

  41. van Beek SC, et al. Effect of regional cooperation on outcomes from ruptured abdominal aortic aneurysm. Br J Surg. 2014;101(7):794–801.

    Article  PubMed  Google Scholar 

Management of Endoleaks After rEVAR

  1. Parodi JC, Palmaz JC, Barone HD. Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann Vasc Surg. 1991;5:491–9.

    Article  CAS  PubMed  Google Scholar 

  2. Hinchliffe RJ, Bruijstens L, MacSweeney ST, Braithwaite BD. A randomised trial of endovascular and open surgery for ruptured abdominal aortic aneurysm—results of a pilot study and lessons learned for future studies. Eur J Vasc Endovasc Surg. 2006;32:506–13.

    Article  CAS  PubMed  Google Scholar 

  3. Reimerink JJ, Hoornweg LL, Vahl AC, Wisselink W, van den Broek TA, Legemate., DA, et al., Amsterdam Acute AneurysmTrial Collaborators. Endovascular repair versus open repair of ruptured abdominal aortic aneurysm: a multicenter randomized controlled trial. Ann Surg. 2013;258:248–56.

    Google Scholar 

  4. Powell JT, Sweeting MJ, Thompson MM, Ashleigh R, Bell R, Gomes M, et al., IMPROVE Trial Investigators. Endovascular or open repair strategy for ruptured abdominal aortic aneurysm: 30 day outcomes from IMPROVE randomised trial. Br Med J. 2014;348:f7661.

    Google Scholar 

  5. Veith FJ, Lachat M, Mayer D, Malina M, Holst J, Mehta M. Collected world and single center experience with endovascular treatment of ruptured abdominal aortic aneurysms. Ann Surg. 2009;250(5):818–24.

    Article  PubMed  Google Scholar 

  6. Starnes BW, Quiroga E, Hutter C, Tran NT, Hatsukami T, Meissner M, et al. Management of ruptured abdominal aortic aneurysm in the endovascular era. J Vasc Surg. 2010;51:9–18.

    Article  PubMed  Google Scholar 

  7. Mehta M, Byrne J, Darling III RC, Paty PSK, Roddy SP, Kreienberg PB, et al. Endovascular repair of ruptured infrarenal abdominal aortic aneurysm is associated with lower 30-day mortality and better 5-year survival rates than open surgical repair. J Vasc Surg. 2013;57:368–75.

    Article  PubMed  Google Scholar 

  8. White GH, Yu W, May J. “Endoleak”: a proposed new terminology to describe incomplete aneurysm exclusion by an endoluminal graft. J Endovasc Surg. 1996;3:124–5.

    Article  CAS  PubMed  Google Scholar 

  9. Chaikof EL, Blankensteijn JD, Harris PL, et al. Reporting standards for endovascular aortic aneurysm repair. J Vasc Surg. 2002;35:1048–60.

    Article  PubMed  Google Scholar 

  10. White GH, May J, Petrasek P, Waugh RC, Yu W. Type III and type IV endoleak: toward a complete definition of blood flow in the sac after endoluminal repair of AAA. J Endovasc Surg. 1998;5:305–9.

    Article  CAS  PubMed  Google Scholar 

  11. White GH, Yu W, May J, et al. Endoleak as a complication of endoluminal grafting of abdominal aortic aneurysms: classification, incidence, diagnosis, and management. J Endovasc Surg. 1997;4:152–68.

    Article  CAS  PubMed  Google Scholar 

  12. Dias NV, Ivancev K, Resch TA, et al. Endoleaks after endovascular aneurysm repair lead to nonuniform intra-aneurysm sac pressure. J Vasc Surg. 2007;46:197–203.

    Article  PubMed  Google Scholar 

  13. White SB, Stavropoulos SW. Management of endoleaks following endovascular aneurysm repair. Semin Interv Radiol. 2009;26(1):33–8.

    Article  Google Scholar 

  14. Lee JT, Ullery BW, Zarins CK, Olcott IV C, et al. EVAR deployment in anatomically challenging necks outside the IFU. Eur J Vasc Endovasc Surg. 2013;46(1):65–73.

    Article  CAS  PubMed  Google Scholar 

  15. Rosen RJ, Green RM. Endoleak management following endovascular aneurysm repair. J Vasc Interv Radiol. 2008;19:37–43.

    Article  Google Scholar 

  16. Kim JK, Noll RE, Tonnessen BH, Sternbergh WC. A technique for increased accuracy in the placement of the “giant” Palmaz stent for treatment of type IA endoleak after endovascular abdominal aneurysm repair. J Vasc Surg. 2008;48:755–7.

    Article  PubMed  Google Scholar 

  17. Maldonado TS, Rosen RJ, Rockman CB, et al. Initial successful management of type I endoleak after endovascular aortic aneurysm repair with n-butyl cyanoacrylate adhesive. J Vasc Surg. 2003;38:664–70.

    Article  CAS  PubMed  Google Scholar 

  18. Zanchetta M, Faresin F, Pedon L, et al. Fibrin glue aneurysm sac embolization at the time of endografting. J Endovasc Ther. 2005;12:579–82.

    Article  PubMed  Google Scholar 

  19. Grisafi JL, Boiteau G, Detschelt E, et al. Endoluminal treatment of type IA endoleak with Onyx. J Vasc Surg. 2010;52:1346–9.

    Article  PubMed  Google Scholar 

  20. Pacanowski JP, Stevens SL, Freeman MB, et al. Endotension distribution and the role of thrombus following endovascular AAA exclusion. J Endovasc Ther. 2002;9:639–51.

    Article  PubMed  Google Scholar 

  21. Glebova NO, Selvarajah S, Orion KC, Black 3rd JH, et al. Fenestrated endovascular repair of abdominal aortic aneurysms is associated with increased morbidity but comparable mortality with infrarenal endovascular aneurysm repair. J Vasc Surg. 2015;61(3):604–10.

    Article  PubMed  Google Scholar 

  22. Quinn AA, Mehta M, Teymouri MT, et al. The incidence and fate of endoleaks varies between ruptured and elective endovascular abdominal aortic aneurysm repair. JVS (in press).

    Google Scholar 

  23. Smith MT, Gupta R, Jazaeri O, Rochon PJ, et al. Preservation of interal iliac arterial flow during endovascular aortic aneurysm repair using the “Sandwich” technique. Semin Intervent Radiol. 2013;30:82–6.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Mehta M, Veith FJ, Darling RC, et al. Effects of bilateral hypogastric artery interruption during endovascular and open aortoiliac aneurysm repair. J Vasc Surg. 2004;40(4):698–702.

    Article  PubMed  Google Scholar 

  25. El Batti S, Cochennec F, Roudot-Thoraval F, Becquemin JP. Type II endoleaks after endovascular repair of abdominal aortic aneurysm are not always a benign condition. J Vasc Surg. 2013;57(5):1291–7.

    Article  PubMed  Google Scholar 

  26. Jones JE, Atkins MD, Brewster DC, et al. Persistent type 2 endoleak after endovascular repair of abdominal aortic aneurysm is associated with adverse late outcomes. J Vasc Surg. 2007;46(1):1–8.

    Article  PubMed  Google Scholar 

  27. Bernhard VM, Mitchell RS, Matsumura JS, et al. Ruptured abdominal aortic aneurysm after endovascular repair. J Vasc Surg. 2002;35:1155–62.

    Article  PubMed  Google Scholar 

  28. Van Marrewijk C, Buth J, Harris PL, et al. Significance of endoleaks after endovas‐ cular repair of abdominal aortic aneurysm: the EUROSTAR experience. J Vasc Surg. 2002;35:461–73.

    Article  PubMed  Google Scholar 

  29. Martin ML, Dolmatch BL, Fry PD, Machan LS. Treatment of type II endoleaks with Onyx. J Vasc Interv Radiol. 2001;12:629–32.

    Article  CAS  PubMed  Google Scholar 

  30. Baum RA, Carpenter JP, Golden MA, et al. Treatment of type 2 endoleaks after endovascular repair of abdominal aortic aneurysms: comparison of transarterial and translumbar techniques. J Vasc Surg. 2002;35(1):23–9.

    Article  PubMed  Google Scholar 

  31. Mansueto G, Cenzi D, Scuro A, et al. Treatment of type II endoleak with a transcatheter transcaval approach: results at 1-year follow-up. J Vasc Surg. 2007;45:1120–7.

    Article  PubMed  Google Scholar 

  32. Baum RA, Cope C, Fairman RM, Carpenter JP. Translumbar embolization of type 2 endoleaks after endovascular repair of abdominal aortic aneurysms. J Vasc Interv Radiol. 2001;12(1):111–6.

    Article  CAS  PubMed  Google Scholar 

  33. Stavropoulos SW, Park J, Fairman R, Carpenter J. Type 2 endoleak embolization comparison: translumbar embolization versus modified transarterial embolization. J Vasc Interv Radiol. 2009;20(10):1299–302.

    Article  PubMed  Google Scholar 

  34. Zhou W, Lumsden AB, Li J. IMA clipping for a type II endoleak: combined laparoscopic and endovascular approach. Surg Laparosc Endosc Percutan Tech. 2006;16:272–5.

    Article  PubMed  Google Scholar 

  35. Wilt TJ, Lederle FA, Macdonald R, et al. Comparison of endovascular and open surgical repairs for abdominal aortic aneurysm. Evid Rep Technol Assess. 2006;144:1–113.

    Google Scholar 

  36. Wanhainen A, Nyman R, Mats-Ola E, Bjorck M. First report of a late type III endoleak from fabric tears of a Zenith stent graft. J Vasc Surg. 2008;48(3):723–6.

    Article  PubMed  Google Scholar 

  37. Stavropoulos SW, Charagundla SR. Imaging techniques for detection and management of endoleaks after endovascular aortic aneurysm repair. Radiology. 2007;243:641–55.

    Article  PubMed  Google Scholar 

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Kniery, K. et al. (2017). Postoperative Complications. In: Starnes, B., Mehta, M., Veith, F. (eds) Ruptured Abdominal Aortic Aneurysm. Springer, Cham. https://doi.org/10.1007/978-3-319-23844-9_16

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