Late open conversions after endovascular abdominal aneurysm repair in an urgent setting

Perini, Paolo
Gargiulo, Mauro
Silingardi, Roberto
Piccinini, Elio
Capelli, Patrizio
FONTANA, ANTONIO
MIGLIARI, MATTIA
Masi, Giancarlo
Scabini, Matteo
Tusini, Nicola
Faggioli, GianLuca
Freyrie, Antonio

Publication date

January 2019

DOI

10.1016/j.jvs.2018.04.055

Abstract

Objectives: We report a multicenter experience of urgent late open conversion (LOC), with the goal of identifying the mode of presentation, technical aspects, and outcomes of this cohort of patients. Methods: A retrospective analysis of endovascular aneurysm repair (EVAR) requiring LOC (>30 days after implantation) from 1996 to 2016 in six vascular centers was performed. Patients with aneurysm rupture or other conditions requiring urgent surgery (<24 hours) were included. Patient demographics, time interval between EVAR and LOC, endograft characteristics, previous attempts at endovascular correction, indications, operative technique, 30-day mortality and morbidity, and long-term survival were analyzed. Results: There were 42 patients (88.1%...