Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492012000300012
Jornal Vascular Brasileiro
Case Report

Relato de caso de tratamento endovascular de fístula aorto-entérica secundária

A case report of an endovascular treatment of secondary aortenteric fistula

Fabio Henrique Rossi; Nilo Mitsuru Izukawa; Akash Kuzhiparambil Prakasan; Heraldo Antônio Barbato; Antonio Kambara; Patrik Bastos Metzger; Frederico Augusto de Carvalho Linhares Filho; Camila Baumann Betelli

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Resumo

O tratamento tradicional da fístula aorto-entérica secundária baseia-se na retirada cirúrgica da prótese, desbridamento aórtico, enxerto extra-anatômico, ou in situ, nos casos em que o campo cirúrgico apresenta-se sem sinais de infecção. Recentemente, alguns autores vêm preconizando o tratamento endovascular em pacientes instáveis e com alto risco cirúrgico. Apresentamos um relato de caso de paciente portador de fístula aorto-entérica secundária tratado inicialmente por via endovascular.

Palavras-chave

aneurisma, enxerto vascular, fístula do sistema digestório, procedimentos endovasculares

Abstract

Traditional treatment of secondary aortoenteric fistula is based on open surgery followed by device removal, aortic debridement and extra-anatomic or in situ by-pass when no signs of local infection are found. Recently, some authors have been advocating endovascular treatment in unstable and high-risk patients. We present a case report of a patient who underwent initial endovascular treatment of a secondary aortoenteric fistula.

Keywords

aneurysm, vascular grafting, digestive system fistula, endovascular procedures

References

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;21:184-95.

Sharif MA, Lee B, Lau LL. Prosthetic stent graft infection after endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2007;46:442-8.

Burks JA, Faries PL, Gravereaux EC, Hollier LH, Marin ML. Endovascular repair of bleeding aortoenteric fistulas: a 5-year experience. J Vasc Surg. 2001;34:1055-9.

Baril DT, Carroccio A, Ellozy SH. Evolving strategies for the treatment of aortoenteric fistulas. J Vasc Surg. 2006;44:250-7.

Laganà D, Carrafiello G, Mangini M. Endovascular treatment of anastomotic pseudoaneurysms after aorto-iliac surgical reconstruction. Cardiovasc Intervent Radiol. 2007;30:1185-91.

Brountzos EN, Vasdekis S, Kostopanagiotou G. Endovascular treatment of a bleeding secondary aorto-enteric fistula: A case report with 1-year follow-up. Cardiovasc Intervent Radiol. 2007;30:1037-41.

Antoniou GA, Koutsias S, Antoniou SA, Georgiakakis A, Lazarides MK, Giannoukas AD. Outcome after endovascular stent graft repair of aortoenteric fistula: A systematic review. J Vasc Surg. 2009;49:782-9.

Kakkos SK, Antoniadis PN, Klonaris CN. Open or endovascular repair of aortoenteric fistulas?: A multicentre comparative study. Eur J Vasc Endovasc Surg. 2011;41:625-34.

Kakkos SK, Papadoulas S, Tsolakis IA. Endovascular management of arterioenteric fistulas: a systemic review and meta-analysis of the literature. J Endovasc Ther. 2011;18:66-77.

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