Skip to main content
SpringerLink
Log in

Major Complications of Vascular Surgery

  • Chapter
  • First Online:
The High-risk Surgical Patient

  • 1415 Accesses

Abstract

Major complications after vascular surgery are fortunately rare. However, they are often very dangerous for the patient’s life

In this chapter, we will focus on the main complications derived from vascular procedures.

Graft thrombosis and infections, anastomotic aneurysms, and aorto-enteric fistulae will be treated in depth along with a description of endovascular complications, a new issue of increased concern in recent years.

Although some of them are successfully treated, others are still without effective care with the hope that emerging technologies and therapies will be developed to face these important complications.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Hinchliffe RJ, et al. “Paving and cracking”: an endovascular technique to facilitate the introduction of aortic stent-grafts through stenosed iliac arteries. J Endovasc Ther. 2007;14:630–3.

    PubMed  Google Scholar 

  2. Watson HR, Schroeder TV, Simms MH, Buth J, Horrocks M, Norgren L, Bergqvist D, et al. Relationship of femorodistal bypass patency to clinical outcome. Iloprost Bypass International Study Group. Eur J Vasc Endovasc Surg. 1999;17:77–83. https://doi.org/10.1053/EJVS.1998.0712.

    Article  CAS  PubMed  Google Scholar 

  3. Giswold ME, Landry GJ, Sexton GJ, Yeager RA, Edwards JM, Taylor LM Jr, Moneta GL. Modifiable patient factors are associated with reverse vein graft occlusion in the era of duplex scan surveillance. J Vasc Surg. 2003;37:47–53. https://doi.org/10.1067/MVA.2003.4.

    Article  PubMed  Google Scholar 

  4. Singh N, Sidawy AN, DeZee KJ, Neville RF, Akbari C, Henderson W. Factors associated with early failure of infrainguinal lower extremity arterial bypass. J Vasc Surg. 2008;47:556–61. https://doi.org/10.1016/J.JVS.2007.10.059.

    Article  PubMed  Google Scholar 

  5. Oresanya L, Makam AN, Belkin M, Moneta GL, Conte MS. Factors associated with primary vein graft occlusion in a multicenter trial with mandated ultrasound surveillance. J Vasc Surg. 2014;59:996–1002. https://doi.org/10.1016/J.JVS.2013.10.096.

    Article  PubMed  Google Scholar 

  6. Rzucidlo EM, Walsh DB, Powell RJ, Zwolak RM, Fillinger MF, Schermerhorn ML, Cronenwett JL. Prediction of early graft failure with intraoperative completion duplex ultrasound scan. J Vasc Surg. 2002;36:975–81. https://doi.org/10.1067/MVA.2002.128298.

    Article  PubMed  Google Scholar 

  7. Nolan BW, De Martino RR, Stone DH, Schanzer A, Goodney PP, Walsh DW, Cronenwett JL, et al. Prior failed ipsilateral percutaneous endovascular intervention in patients with critical limb ischemia predicts poor outcome after lower extremity bypass. J Vasc Surg. 2011;54:730–6. https://doi.org/10.1016/J.JVS.2011.03.236.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Bandyk DF. Surveillance after lower extremity arterial bypass. Perspect Vasc Surg Endovasc Ther. 2007;19:376–83. https://doi.org/10.1177/1531003507310460.

    Article  PubMed  Google Scholar 

  9. Demarche M, Waltregny D, van Damme H, Limet R. Femoral anastomotic aneurysms: pathogenic factors, clinical presentations and treatment. A study of 142 cases. Cardiovasc Surg. 1999;7(3):315–22.

    CAS  PubMed  Google Scholar 

  10. Markovic DM, Davidovic LB, Kostic DM, et al. False anastomotic aneurysms. Vascular. 2007;15(3):141–8.

    PubMed  Google Scholar 

  11. Schellack J, Salam A, Abouzeid MA, Smith RB 3rd, Stewart MT, Perdue GD. Femoral anastomotic aneurysms: a continuing challenge. J Vasc Surg. 1987;6(3):308–17.

    CAS  PubMed  Google Scholar 

  12. Skourtis G, Bountouris I, Papacharalambous G, et al. Anastomotic pseudoaneurysms: our experience with 49 cases. Ann Vasc Surg. 2006;20(5):582–9.

    CAS  PubMed  Google Scholar 

  13. Dennis JW, Littooy FN, Greisler HP, Baker WH. Anastomotic pseudoaneurysms. A continuing late complication of vascular reconstructive procedures. Arch Surg. 1986;121(3):314–7.

    CAS  PubMed  Google Scholar 

  14. Szilagyi DE, Smith RF, Elliott JP, Hageman JH, Dall’Olmo CA. Anastomotic aneurysms after vascular reconstruction: problems of incidence, etiology, and treatment. Surgery. 1975;78(6):800–16.

    CAS  PubMed  Google Scholar 

  15. Abou-Zamzam AM Jr, Ballard JL. Management of sterile para-anastomotic aneurysms of the aorta. Semin Vasc Surg. 2001;14(4):282–91.

    PubMed  Google Scholar 

  16. Ernst CB, Elliott JP Jr, Ryan CJ, et al. Recurrent femoral anastomotic aneurysms. A 30-year experience. Ann Surg. 1988;208(4):401–9.

    CAS  PubMed  PubMed Central  Google Scholar 

  17. Ylonen K, Biancari F, Leo E, Rainio P, Salmela E, Lahtinen J, et al. Predictors of development of anastomotic femoral pseudoaneurysms after aortobifemoral reconstruction for abdominal aortic aneurysms. Am J Surg. 2004;187:83–7.

    PubMed  Google Scholar 

  18. Omoigui NA, et al. Peripheral vascular complications in the coronary angioplasty versus excisional atherectomy trial (CAVEAT-I). J Am Coll Cardiol. 1995;26:922–30.

    CAS  PubMed  Google Scholar 

  19. Levi N, Schroeder TV. Anastomotic femoral aneurysms: is an increase in interval between primary operation and aneurysms formation related to change in incidence? Panminerva Med. 1998;40(3):210–3.

    CAS  PubMed  Google Scholar 

  20. Sigala F, Georgopoulos S, Sigalas K, et al. Femoral anastomotic aneurysms in the modern era: a reappraisal of a continuing challenge. Minerva Chir. 2006;61(2):95–101.

    CAS  PubMed  Google Scholar 

  21. Levi N, Schroeder TV. Anastomotic femoral aneurysms: increase in interval between primary operation and aneurysm formation. Eur J Vasc Endovasc Surg. 1996;11(2):207–9.

    CAS  PubMed  Google Scholar 

  22. Youkey JR, Clagett GP, Rich NM, Brigham RA, Orecchia PM, Salander JM. Femoral anastomotic false aneurysms. An 11-year experience analyzed with a case control study. Ann Surg. 1984;199(6):703–9.

    CAS  PubMed  PubMed Central  Google Scholar 

  23. Sachdev U, Baril DT, Morrissey NJ, et al. Endovascular repair of para-anastomotic aortic aneurysms. J Vasc Surg. 2007;46(4):636–41.

    PubMed  Google Scholar 

  24. Conrad MF, Crawford RS, Pedraza JD, et al. Long-term durability of open abdominal aortic aneurysm repair. J Vasc Surg. 2007;46(4):669–75.

    PubMed  Google Scholar 

  25. Borazjani BH, Wilson SE, Fujitani RM, Gordon I, Mueller M, Williams RA. Postoperative complications of carotid patching: pseudoaneurysm and infection. Ann Vasc Surg. 2003;17(2):156–61.

    PubMed  Google Scholar 

  26. Starr DS, Weatherford SC, Lawrie GM, Morris GC Jr. Suture material as a factor in the occurrence of anastomotic false aneurysms. An analysis of 26 cases. Arch Surg. 1979;114(4):412–5.

    CAS  PubMed  Google Scholar 

  27. Calhoun TR, Kitten CM. Polypropylene suture—is it safe? J Vasc Surg. 1986;4(1):98–100.

    CAS  PubMed  Google Scholar 

  28. Oderich GS, Panneton JM, Bower TC, et al. The spectrum, management and clinical outcome of Ehlers-Danlos syndrome type IV: a 30-year experience. J Vasc Surg. 2005;42(1):98–106.

    PubMed  Google Scholar 

  29. Wanhainen A. Editor’s choice—European Society for Vascular Surgery (ESVS) 2019 clinical practice guidelines on the management of abdominal aorto-iliac artery aneurysms. Eur J Vasc Endovasc Surg. 2019;57(1):8–93.

    PubMed  Google Scholar 

  30. Biancari F, Ylonen K, Anttiila V, Juvonen J, Romsi P, Satta J, et al. Durability of open repair of infrarenal abdominal aortic aneurysm: a 15-year follow up study. J Vasc Surg. 2002;35:87–93.

    PubMed  Google Scholar 

  31. Edwards JM, Teefey SA, Zierler RE, Kohler TR. Intraabdominal paraanastomotic aneurysms after aortic bypass grafting. J Vasc Surg. 1992;15:344–50.

    CAS  PubMed  Google Scholar 

  32. Ikonomopoulos DC, Spanos PK, Lazarides DP. Pathogenesis of aortoenteric fistula. An experimental study. Int Angiol. 1986;5(1):33–7. [PubMed: 2942612].

    CAS  PubMed  Google Scholar 

  33. Zaki M, Tawfick W, Alawy M, ElKassaby M, Hynes N, Sultan S. Secondary aortoduodenal fistula following endovascular repair of inflammatory abdominal aortic aneurysm due to Streptococcus anginosus infection: a case report and literature review. Int J Surg Case Rep. 2014;5(10):710–3. [PMC free article: PMC4189064] [PubMed: 25201477].

    CAS  PubMed  PubMed Central  Google Scholar 

  34. Pipinos II, Carr JA, Haithcock BE, Anagnostopoulos PV, Dossa CD, Reddy DJ. Secondary aortoenteric fistula. Ann Vasc Surg. 2000;14(6):688–96. [PubMed: 11128470].

    CAS  PubMed  Google Scholar 

  35. Kuestner LM, Reilly LM, Jicha DL, Ehrenfeld WK, Goldstone J, Stoney RJ. Secondary aortoenteric fistula: contemporary outcome with use of extraanatomic bypass and infected graft excision. J Vasc Surg. 1995;21(2):184–95.

    CAS  PubMed  Google Scholar 

  36. Hallett JW, Marshall DM, Petterson TM, Gray DT, Bower TC, Cherry KJ, Gloviczki P, Pairolero PC. Graft-related complications after abdominal aortic aneurysm repair: reassurance from a 36-year population-based experience. J Vasc Surg. 1997;25(2):277–84; discussion 285–6. [PubMed: 9052562].

    PubMed  Google Scholar 

  37. McIntyre KE, Malone JM, Richards E, Axline SG. Mycotic aortic pseudoaneurysm with aortoenteric fistula caused by Arizona hinshawii. Surgery. 1982;91(2):173–7. [PubMed: 6895801].

    PubMed  Google Scholar 

  38. Khalaf C, Houlind KC. Case report: primary aortosigmoid fistula—a rare cause of lower gastrointestinal bleeding. Int J Surg Case Rep. 2017;40:20–2. [PMC free article: PMC5602515] [PubMed: 28918295].

    PubMed  PubMed Central  Google Scholar 

  39. Calligaro KD, Bergen WS, Savarese RP, Westcott CJ, Azurin DJ, DeLaurentis DA. Primary aortoduodenal fistula due to septic aortitis. J Cardiovasc Surg (Torino). 1992;33(2):192–8. [PubMed: 1572877].

    CAS  PubMed  Google Scholar 

  40. Voorhoeve R, Moll FL, de Letter JA, Bast TJ, Wester JP, Slee PH. Primary aortoenteric fistula: report of eight new cases and review of the literature. Ann Vasc Surg. 1996;10(1):40–8. [PubMed: 8688296].

    CAS  PubMed  Google Scholar 

  41. O’Mara C, Imbembo AL. Paraprosthetic-enteric fistula. Surgery. 1977;81(5):556–66. [PubMed: 300510].

    PubMed  Google Scholar 

  42. Deijen CL, Smulders YM, Coveliers HME, Wisselink W, Rauwerda JA, Hoksbergen AWJ. The importance of early diagnosis and treatment of patients with aortoenteric fistulas presenting with herald bleeds. Ann Vasc Surg. 2016;36:28–34. [PubMed: 27423720].

    PubMed  Google Scholar 

  43. Wood A, Bendjelid SM, Bendjelid K. Primary aortoenteric fistula: should enhanced computed tomography be considered in the diagnostic work-up? Anesth Analg. 2005;101(4):1157–9, table of contents. [PubMed: 16192537].

    PubMed  Google Scholar 

  44. Wildgruber M, Wrede CE, Zorger N, Müller-Wille R, Hamer OW, Zeman F, Stroszczynski C, Heiss P. Computed tomography versus digital subtraction angiography for the diagnosis of obscure gastrointestinal bleeding. Eur J Radiol. 2017;88:8–14. [PubMed: 28189213].

    PubMed  Google Scholar 

  45. Bergqvist D, Björck M. Secondary arterioenteric fistulation—a systematic literature analysis. Eur J Vasc Endovasc Surg. 2009;37(1):31–42. [PubMed: 19004648].

    CAS  PubMed  Google Scholar 

  46. Perks FJ, Gillespie I, Patel D. Multidetector computed tomography imaging of aortoenteric fistula. J Comput Assist Tomogr. 2004;28(3):343–7. [PubMed: 15100538].

    PubMed  Google Scholar 

  47. Upchurch GR, Clair DG, Whittemore AD, Mannick JA. Clostridium septicum bacteremia associated with aortic graft infection. J Vasc Surg. 1995;22(4):493–5. [PubMed: 7563411].

    PubMed  Google Scholar 

  48. Kakkos SK, Bicknell CD, Tsolakis IA, Bergqvist D, Hellenic Co-operative Group on Aortic Surgery. Editor’s choice—management of secondary aorto-enteric and other abdominal arterio-enteric fistulas: a review and pooled data analysis. Eur J Vasc Endovasc Surg. 2016;52(6):770–86. [PubMed: 27838156].

    CAS  PubMed  Google Scholar 

  49. Jayarajan S, Napolitano LM, Rectenwald JE, Upchurch GR. Primary aortoenteric fistula and endovascular repair. Vasc Endovascular Surg. 2009;43(6):592–6. [PubMed: 19640906].

    PubMed  Google Scholar 

  50. Burks JA, Faries PL, Gravereaux EC, Hollier LH, Marin ML. Endovascular repair of bleeding aortoenteric fistulas: a 5-year experience. J Vasc Surg. 2001;34(6):1055–9. [PubMed: 11743560].

    PubMed  Google Scholar 

  51. Spanos K, Kouvelos G, Karathanos C, Matsagkas M, Giannoukas AD. Current status of endovascular treatment of aortoenteric fistula. Semin Vasc Surg. 2017;30(2–3):80–4. [PubMed: 29248124].

    PubMed  Google Scholar 

  52. Batt M, Jean-Baptiste E, O’Connor S, Saint-Lebes B, Feugier P, Patra P, Midy D, Haulon S. Early and late results of contemporary management of 37 secondary aortoenteric fistulae. Eur J Vasc Endovasc Surg. 2011;41(6):748–57. [PubMed: 21414817].

    CAS  PubMed  Google Scholar 

  53. Sweeney MS, Gadacz TR. Primary aortoduodenal fistula: manifestation, diagnosis, and treatment. Surgery. 1984;96(3):492–7. [PubMed: 6236571].

    CAS  PubMed  Google Scholar 

  54. Chopra A, Cieciura L, Modrall JG, Valentine RJ, Chung J. Twenty-year experience with aorto-enteric fistula repair: gastrointestinal complications predict mortality. J Am Coll Surg. 2017;225(1):9–18. [PubMed: 28161484].

    PubMed  Google Scholar 

  55. Dorigo W, Pulli R, Azas L, Pratesi G, Alessi Innocenti A, Pratesi C. Early and long-term results of conventional surgical treatment of secondary aorto-enteric fistula. Eur J Vasc Endovasc Surg. 2003;26:512–8. https://doi.org/10.1016/S1078-5884(03)00379-4.

    Article  CAS  PubMed  Google Scholar 

  56. Waksman R, et al. Predictors of groin complications after balloon and new-device coronary intervention. Am J Cardiol. 1995;75:886–9.

    CAS  PubMed  Google Scholar 

  57. Kelm M, et al. Incidence and clinical outcome of iatrogenic femoral arteriovenous fistulas: implications for risk strati cation and treatment. J Am Coll Cardiol. 2002;40:291–7.

    PubMed  Google Scholar 

  58. Blankenship JC, et al. Vascular access site complications after percutaneous coronary intervention with abciximab in the Evaluation of c7E3 for the Prevention of Ischemic Complications (EPIC) trial. Am J Cardiol. 1998;81:36–40.

    CAS  PubMed  Google Scholar 

  59. Smilowitz N, et al. Practices and complications of vascular closure devices and manual compression in patients undergoing elective transfemoral coronary procedures. Am J Cardiol. 2012;110:177–82.

    PubMed  Google Scholar 

  60. Piper WD, et al. Predicting vascular complications in percutaneous coronary interventions. Am Heart J. 2003;145:1022–9.

    PubMed  Google Scholar 

  61. Applegate RJ, et al. Vascular complications in women after catheterization and percutaneous coronary intervention 1998–2005. J Invasive Cardiol. 2007;19:369–74.

    PubMed  Google Scholar 

  62. Horwitz PA, et al. Bleeding risk of platelet glycoprotein IIb/IIIa receptor antagonists in broad-based practice (results from the Society for Cardiac Angiography and Interventions Registry). Am J Cardiol. 2003;91:803–6.

    CAS  PubMed  Google Scholar 

  63. AbuRahma AF, et al. Complications of arteriography in a recent series of 707 cases: factors affecting outcome. Ann Vasc Surg. 1993;7:122–9.

    CAS  PubMed  Google Scholar 

  64. Jacobs DL, et al. True lumen re-entry devices facilitate subintimal angioplasty and stenting of total chronic occlusions: initial report. J Vasc Surg. 2006;43:1291–6.

    PubMed  Google Scholar 

  65. Lumsden AB, et al. Complications of endovascular procedures. In: Rutherford RB, editor. Vascular surgery. 6th ed. Philadelphia: Elsevier; 2005.

    Google Scholar 

  66. Parmer SS, et al. Femoral neuropathy following retroperitoneal hemorrhage: case series and review of the literature. Ann Vasc Surg. 2006;20:536–40.

    PubMed  Google Scholar 

  67. Kent KC, et al. Neuropathy after cardiac catheterization: incidence, clinical patterns, and long-term outcome. J Vasc Surg. 1994;19:1008–13; discussion 1013–1014.

    CAS  PubMed  Google Scholar 

  68. Alsac JM, et al. Complications of the access during aortic valve implantation through transfemoral access. Ann Vasc Surg. 2011;25:752–7.

    PubMed  Google Scholar 

  69. Cambria RP, et al. Evolving experience with thoracic aortic stent graft repair. J Vasc Surg. 2002;35:1129–36.

    PubMed  Google Scholar 

  70. Makaroun MS, et al. Endovascular treatment of thoracic aortic aneurysms: results of the phase II multicenter trial of the GORE TAG thoracic endoprosthesis. J Vasc Surg. 2005;41:1–9.

    PubMed  Google Scholar 

  71. McDermott JC, et al. Complications of transluminal angioplasty. Radiology. 1987;162:286–8.

    CAS  PubMed  Google Scholar 

  72. Lam RC, et al. Incidence and clinical significance of distal embolization during percutaneous interventions involving the superficial femoral artery. J Vasc Surg. 2007;46:1155–9.

    PubMed  Google Scholar 

  73. Konig CW, et al. Frequent embolization in peripheral angioplasty: detection with an embolism protection device (AngioGuard) and electron microscopy. Cardiovasc Intervent Radiol. 2003;26:334–9.

    PubMed  Google Scholar 

  74. Zafar N, et al. Utilization of an aspiration thrombectomy catheter (Pronto) to treat acute atherothrombotic embolization during percutaneous revascularization of the lower extremity. Catheter Cardiovasc Interv. 2008;71:972–5.

    PubMed  Google Scholar 

  75. Hayes PD, et al. Arterial perforation during infrainguinal lower limb angioplasty does not worsen outcome: results from 1409 patients. J Endovasc Ther. 2002;9:422–7.

    PubMed  Google Scholar 

  76. Bensley RA, et al. Ultrasound-guided percutaneous endovascular aneurysm repair success is predicted by access vessel diameter. J Vasc Surg. 2012;55:1554–61.

    PubMed  PubMed Central  Google Scholar 

  77. Rutherford RB. Reporting standards for endovascular surgery: should existing standards be modified for newer procedures? Semin Vasc Surg. 1997;10:197–205.

    CAS  PubMed  Google Scholar 

  78. Chiesa R, Astore D, Frigerio S, Garriboli L, Piccolo G, Castellano R, et al. Vascular prosthetic graft infection: epidemiology, bacteriology, pathogenesis and treatment. Acta Chir Belg. 2002;102:238–47. https://doi.org/10.1080/00015458.2002.11679305.

    Article  CAS  PubMed  Google Scholar 

  79. Vicaretti M. Pathophysiology of vascular graft infections. In: Mechanisms of vascular disease: a reference book for vascular specialists; 2011. p. 537–548.

    Google Scholar 

  80. Hicks RCJ, Greenhalgh RM. The pathogenesis of vascular graft infection. Eur J Vasc Endovasc Surg. 1997;14:5–9.

    PubMed  Google Scholar 

  81. Sidawy AN, Perler BA. Rutherford’s vascular surgery and endovascular therapy, 9th ed. 2018.

    Google Scholar 

  82. Chakfé N, Diener H, Lejay A, Assadian O, Berard X, Caillon J, et al. Editor’s choice—European Society for Vascular Surgery (ESVS) 2020 clinical practice guidelines on the management of vascular graft and endograft infections. Eur J Vasc Endovasc Surg. 2020;59:339–84. https://doi.org/10.1016/J.EJVS.2019.10.016.

    Article  PubMed  Google Scholar 

  83. Lyons OTA, Baguneid M, Barwick TD, Bell RE, Foster N, Homer-Vanniasinkam S, et al. Diagnosis of aortic graft infection: a case definition by the Management of Aortic Graft Infection Collaboration (MAGIC). Eur J Vasc Endovasc Surg. 2016;52:758–63. https://doi.org/10.1016/J.EJVS.2016.09.007.

    Article  CAS  PubMed  Google Scholar 

  84. Kahlberg A, Melissano G, Mascia D, Loschi D, Grandi A, Chiesa R. How to best treat infectious complications of open and endovascular thoracic aortic repairs. Semin Vasc Surg. 2017;30:95–102. https://doi.org/10.1053/J.SEMVASCSURG.2017.11.002.

    Article  PubMed  Google Scholar 

  85. Darouiche RO. Treatment of infections associated with surgical implants. N Engl J Med. 2009;350:1422–9. https://doi.org/10.1056/NEJMRA035415.

    Article  Google Scholar 

  86. Revest M, Camou F, Senneville E, Caillon J, Laurent F, Calvet B, et al. Medical treatment of prosthetic vascular graft infections: review of the literature and proposals of a working group. Int J Antimicrob Agents. 2015;46:254–65. https://doi.org/10.1016/J.IJANTIMICAG.2015.04.014.

    Article  CAS  PubMed  Google Scholar 

  87. Deriu GP, Ballotta E. Prevention of enteric erosion by vascular prostheses. Tex Heart Inst J. 1982;9(3):325–8. [PMC free article: PMC351638] [PubMed: 15226935].

    CAS  PubMed  PubMed Central  Google Scholar 

  88. Rosamond W, et al. Heart disease and stroke statistics—2008 update: a report from the American Heart Association statistics committee and stroke statistics subcommittee. Circulation. 2008;117:e25–e146.

    PubMed  Google Scholar 

  89. Keunen B, Houthoofd S, Daenens K, Hendriks J, Fourneau I. A case of primary aortoenteric fistula: review of therapeutic challenges. Ann Vasc Surg. 2016;33:230.e5–230.e13. [PubMed: 26965800].

    PubMed  Google Scholar 

  90. Molnar W, et al. Complications of axillary arteriotomies. An analysis of 1762 consecutive studies. Radiology. 1972;104:269–76.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Dipartimento Cardio-Toraco-Vascolare, S.C. Chirurgia Vascolare, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy

    Pierantonio Rimoldi, Alfredo Lista, Maria Teresa Occhiuto & Valerio Stefano Tolva

  2. Vascular Surgery Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy

    Antonietta Cuccì

  3. Università degli Studi di Milano, Milan, Italy

    Ilenia D’Alessio

Authors
  1. Pierantonio Rimoldi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Alfredo Lista
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Maria Teresa Occhiuto
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Antonietta Cuccì
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ilenia D’Alessio
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Valerio Stefano Tolva
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Pierantonio Rimoldi .

Editor information

Editors and Affiliations

  1. Dipartimento di Emergenza Urgenza, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy

    Paolo Aseni

  2. Divisione di Cardiochirurgia, IRCCS Fondazione Policlinico San Matteo, Pavia, Pavia, Italy

    Antonino Massimiliano Grande

  3. Div. of Emerg. Surg., Abdominal Center, Helsinki University Hospital Meilahti, Helsinki, Finland

    Ari Leppäniemi

  4. Department of Pathophysiology and Transplantation, General Surgery and Trauma Team, University of Milano, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy

    Osvaldo Chiara

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Rimoldi, P., Lista, A., Occhiuto, M.T., Cuccì, A., D’Alessio, I., Tolva, V.S. (2023). Major Complications of Vascular Surgery. In: Aseni, P., Grande, A.M., Leppäniemi, A., Chiara, O. (eds) The High-risk Surgical Patient. Springer, Cham. https://doi.org/10.1007/978-3-031-17273-1_46

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-17273-1_46

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-17272-4

  • Online ISBN: 978-3-031-17273-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation