Similar results with elective post-EVAR open conversion and primary open juxtarenal aneurysm repair for type Ia endoleak
Elective open surgical conversion for type Ia endoleak after endovascular aneurysm repair (EVAR) is not associated with increased morbidity or mortality compared with open juxtarenal aneurysm repair in appropriately selected patients, according to a study published in the Journal of Vascular Surgery. Open surgical conversion patients required longer procedure times and received more plasma transfusions.
In the paper, the authors, led by Salvatore T Scali, Division of Vascular Surgery and Endovascular Therapy, University of Florida, Gainesville, USA, write that type Ia endoleak after EVAR can be a challenging complication to manage, and due to concerns regarding morbidity and mortality of open surgical conversion, reports of complex endoluminal salvage techniques are increasing.
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