[Treatment on post-operational complications of aortic endovascular grafting exclusion].
OBJECTIVE
To investigate the post-operative complications of aortic endovascular grafting exclusion (EVGE) and its reasons and treatments.


METHODS
Clinical data of 82 cases received aortic endovascular grafting exclusion from January 2002 to October 2008 were retrospectively analyzed. Seventy-one cases were male and 11 cases were female with the age of 33 to 78 years and the average age of 49.2 years. There were 66 cases of thoracic aortic dissecting aneurysms and 16 cases of abdominal aortic aneurysm. The effect, post-operational complications and its treatment were investigated.


RESULTS
There were 90.1% patients had been followed up with the time of 3 to 78 months with technical success of 90.3%, clinical success of 94.1%, peri-operational mortality of 2.4%, total mortality of 6.1% and mortality associated with EVGE of 2.4%. Twenty-one cases underwent complications including type I endoleak (13 cases), abdominal aortoduodenal fistula (1 case), narrow true lumen (2 cases), reverse Stanford A dissection (2 cases), post EVGE syndrome (12 cases), delayed healing of inguinal incision (5 cases), constipation (3 cases), cerebral infarction (1 case). No paraplegia, left subclavian artery ischemia, contrast media associated nephrosis, ischemic colitis, ischemic neurologic injury, and artery embolism occurred. Post operation 4 cases had the second intervention including 2 type I endoleak and 2 narrow true lumen.


CONCLUSIONS
The technique-related complications still hinder the long-term effect of EVGE. It needs to be further investigated on technique improvement and treatment standardization.
Gong
Kun-Mei
KM
The First General Surgical Department, the First People's Hospital of Yunnan Province, Kunhua Affiliated Hospital of kunming Medical College, Kunming 650032, China.
Xiao
Le
L
Wang
Kun-Hua
KH
Zhang
Yong-Xue
YX
Ouyang
Yi-Ming
YM
Ling
Ping
P
Huang
Ying-Guang
YG
Long
Ya-Xin
YX
Li
Lin-Hai
LH
Zhao
Quan
Q
Zhang
Jian
J
Zhu
Yu
Y
D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000601:surgery; D001014:Aortic Aneurysm / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy*; D012189:Retrospective Studies