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

Plum Print visual indicator of research metrics
PlumX Metrics
  • Citations
    • Citation Indexes: 2
  • Usage
    • Full Text Views: 7490
    • Abstract Views: 814
  • Captures
    • Readers: 5
see details
Downloads: 1
Views: 1291
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.
aneurisma, enxerto vascular, fístula do sistema digestório, procedimentos endovasculares
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.
aneurysm, vascular grafting, digestive system fistula, endovascular procedures

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.

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
5ddd2fe70e8825ad6d1da3e9 jvb Articles
Links & Downloads

J Vasc Bras

Share this page
Page Sections