Journal of Vascular Surgery
Volume 47, Issue 2 , Pages 258-263 , February 2008

Colon ischemia following abdominal aortic aneurysm repair in the era of endovascular abdominal aortic repair

Presented at the Sixty-first Annual Meeting of the Society for Vascular Surgery, Baltimore, Md, Jun 7-10, 2007.

Received 5 June 2007 ,Accepted 1 October 2007.

References 

  1. Brewster DC, Franklin DP, Cambria RP, Darling RC, Moncure AC, Tamuraglia GM, et al. Intestinal ischemia complicating abdominal aortic surgery. Surgery. 1991;109:447–454
  2. Bjorck M, Bergqvist D, Troeng T. Incidence and clinical presentation of bowel ischemia after aortoiliac surgery–2930 operations from a population-based registry in Sweden. Eur J Vasc Endovasc Surg. 1996;12:139–144
  3. Van DH, Creemers E, Limet R. Ischemic colitis following aortoiliac surgery. Acta Chir Belg. 2000;100:21–27
  4. Chen JC, Hildebrand HD, Salvian AJ, Taylor DC, Strandberg S, Myckatyn TM, et al. Predictors of death in nonruptured and ruptured abdominal aortic aneurysms. J Vasc Surg. 1996;24:614–620
  5. Bjorck M, Troeng T, Bergqvist D. Risk factors for intestinal ischemia after aortoiliac surgery: a combined cohort and case-control study of 2824 operations. Eur J Vasc Endovasc Surg. 1997;13:531–539
  6. Champagne BJ, Darling 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;39:792–796
  7. Lederle FA, Kane RL, MacDonald R, Wilt TJ. Systematic review: repair of unruptured abdominal aortic aneurysm. Ann Intern Med. 2007;146:735–741
  8. Franks SC, Sutton AJ, Bown MJ, Sayers RD. Systematic review and meta-analysis of 12 tears of endovascular abdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg. 2007;33:154–171
  9. Alsac JM, Desgranges P, Kobeiter H, Becquemin JP. Emergency endovascular repair for ruptured abdominal aortic aneurysms: feasibility and comparison of early results with conventional open repair. Eur J Vasc Endovasc Surg. 2005;30:632–639
  10. Arya N, Makar RR, Lau LL, Loan W, Lee B, Hannon RJ, et al. An intention-to-treat by endovascular repair policy may reduce overall mortality in ruptured abdominal aortic aneurysm. J Vasc Surg. 2006;44:467–471
  11. Coppi G, Silingardi R, Gennai S, Saitta G, Ciardullo AV. A single-center experience in open and endovascular treatment of hemodynamically unstable and stable patients with ruptured abdominal aortic aneurysms. J Vasc Surg. 2006;44:1140–1147
  12. Mialhe C, Amicabile C, Becquemin JP Stentor Retrospective Study Group. Endovascular treatment of infrarenal abdominal aneurysms by the Stentor system: preliminary results of 79 cases. J Vasc Surg. 1997;26:199–209
  13. Maldonado TS, Rockman CB, Riles E, Douglas D, Adelman MA, Jacobowitz GR, et al. Ischemic complications after endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2004;40:703–709
  14. 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;34:986–996
  15. 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:S27–S32
  16. Lee C, Dougherty M, Calligaro K. Concomitant unilateral internal iliac artery embolization and endovascular infrarenal aortic aneurysm repair. J Vasc Surg. 2006;43:903–907
  17. 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;39:404–408
  18. Elmarasy NM, Soong CV, Walker SR, Macierewicz JA, Yusuf SW, Wenham PW, et al. Sigmoid ischemia and the inflammatory response following endovascular abdominal aortic aneurysm repair. J Endovasc Ther. 2000;7:21–30
  19. Chaikof EL, Blankensteijn JD, Harris PL, White GH, Zarins CK, Bernhard VM, et al. Reporting standards for endovascular aortic aneurysm repair. J Vasc Surg. 2002;35:1048–1060
  20. Bown MJ, Cooper NJ, Sutton AJ, Prytherch D, Nicholson ML, Bell PR, et al. The postoperative mortality of ruptured abdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg. 2004;27:65–74
  21. 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;43:689–694
  22. Becquemin JP, Chemla E, Chatellier G, Allaire E, Melliere D, Desgranges P. Peroperative factors influencing the outcome of elective abdominal aorta aneurysm repair. Eur J Vasc Endovasc Surg. 2000;20:84–89
  23. Schoder M, Zaunbauer L, Holzenbein T, Fleischmann D, Cejna M, Kretschner G, et al. Internal iliac artery embolization before endovascular repair of abdominal aortic aneurysms: frequency, efficacy, and clinical results. AJR Am J Roentgenol. 2001;177:599–605
  24. 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;33:1193–1198
  25. Bergamini TM, Rachel ES, Kinney EV, Jung MT, Kaebnick HW, Mitchell RA. External iliac artery-to-internal iliac artery endograft: a novel approach to preserve pelvic inflow in aortoiliac stent grafting. J Vasc Surg. 2002;35:120–124
  26. Geraghty PJ, Sanchez LA, Rubin BG, Choi ET, Flye MW, Curci JA, et al. Overt ischemic colitis after endovascular repair of aortoiliac aneurysms. J Vasc Surg. 2004;40:413–418
  27. 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;32:676–683
  28. Hinchliffe RJ, Armon MP, Tse CC, Wenham PW, Hopkinson BR. Colonic infarction following endovascular AAA repair: a multifactorial complication. J Endovasc Ther. 2002;9:554–558
  29. Jaeger HJ, Mathias KD, Gissler HM, Neumann G, Walther LD. Rectum and sigmoid colon necrosis due to cholesterol embolization after implantation of an aortic stent-graft. J Vasc Interv Radiol. 1999;10:751–755
  30. Zhang WW, Kulaylat MN, Anain PM, Dosluoglu HH, Harris LM, Cherr GS. Embolization as cause of bowel ischemia after endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2004;40:867–872
  31. Menegaux F, Tresallet C, Kieffer E, Bodin L, Thabut D, Rouby JJ. Aggressive management of nonocclusive ischemic colitis following aortic reconstruction. Arch Surg. 2006;141:678–682

 Competition of interest: none.CME article

PII: S0741-5214(07)01595-9

doi: 10.1016/j.jvs.2007.10.001

Journal of Vascular Surgery
Volume 47, Issue 2 , Pages 258-263 , February 2008

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