title: Management of concurrent colorectal cancer and vascular disease in the endovascular era.
abstract: Concurrent colorectal cancer (CRC) and vascular disease, such as abdominal aortic aneurysm, represents a challenging clinical situation. Both lesions may lead to the demise of the patient and therefore should be treated. Endovascular techniques may enhance decision-making and even permit single-stage treatment.
  
  
  METHODS
  Retrospective review of patients in a university department with extensive endovascular experience. Between 2004 and 2010, seven patients with synchronous vascular disease and colorectal cancer were identified.
  
  
  RESULTS
  The mean age was 73 years, and all patients were men. Five patients had concurrent CRC and aneurysmal disease. Two had synchronous critical carotid artery stenosis and CRC. All vascular lesions were treated with endovascular techniques. All CRC were resected with open techniques. In four patients, endovascular repair followed by staged CRC resection was performed. In three patients, single-stage procedures were performed. There was one perioperative death, for a mortality of 14.3% in our series. There were no graft infections.
  
  
  CONCLUSIONS
  Priority of treating concurrent vascular disease and CRC remains a dilemma. Combined treatment with a single-stage procedure is feasible. Risk of graft infection may be lower than expected.
authors: First Department of Surgery, Aristotelian University, Thessaloniki, Greece. costasspanos@hotmail.com
authors: C P
authors: CP
authors: Spanos
authors: G
authors: G
authors: Tsoulfas
authors: G
authors: G
authors: Georgantis
authors: N
authors: N
authors: Melas
authors: N
authors: N
authors: Saratzis
authors: K
authors: K
authors: Ktenidis
authors: I
authors: I
authors: Lazaridis
authors: A
authors: A
authors: Mekras
authors: T
authors: T
authors: Syrakos
authors: D
authors: D
authors: Kiskinis
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000601:surgery*; D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000628:therapy*; D002343:Carotid Artery, Internal; D016893:Carotid Stenosis / Q000150:complications / Q000628:therapy*; D015179:Colorectal Neoplasms / Q000150:complications / Q000601:surgery*; D057510:Endovascular Procedures; D006801:Humans; D017543:Iliac Aneurysm / Q000150:complications / Q000628:therapy*; D008297:Male; D012189:Retrospective Studies; D015607:Stents; D016896:Treatment Outcome