Unit:
Speciality Endovascular TechniquesLibrary of the School of Health Sciences
Author:
Hadjipolykarpou Andreas
Supervisors info:
Γερουλάκος Γεώργιος, Καθηγητής, Ιατρική, ΕΚΠΑ
Χατζηιωάννου Αχιλλέας, Καθηγητής, Ιατρική, ΕΚΠΑ
Κακίσης Ιωάννης, Αναπληρωτής Καθηγητής, Ιατρική, ΕΚΠΑ
Original Title:
Ενδαγγειακή αντιμετώπιση αορτοεντερικών συριγγίων
Translated title:
Endovascular treatment of aortoenteric fistulas
Summary:
Aortoenteric fistulas pose a high mortality complication accompanied by a high degree of difficulty in diagnosis. Due to their rare incidence, the delayed diagnosis and treatment add up to a large mortality percentage. In any patient presenting with gastrointestinal hemorrhage and a history of aneurysmal disease the patient should be considered to have an aortoenteric fistula until proving the contrary. Despite the large number of proposed surgical solutions, the mortality percentages remain high. The endovascular approach presents a relatively safer alternative to open surgery in cases of massive bleeding or previous extensive abdominal surgery. High risk patients may be considered for endovascular repair but may require open conversion in the future. With today’s data the endovascular approach does not seem to provide a long term, final solution in the treatment of aortoenteric fistulas.
Main subject category:
Health Sciences
Keywords:
Endovascular repair, Aortoenteric fistula, Open repair
