Thoracic Endovascular Repair for Aorto-Esophageal Fistula in Patients With Esophageal Carcinoma: Report of 3 Cases
Aorto-esophageal fistula (AEF) is a rare complication of esophageal carcinoma. Left untreated, it may be lethal due to massive upper gastrointestinal bleeding, while open thoracic surgery is associated with high operative mortality and morbidity. In contrast, thoracic endovascular aortic repair (TEV...
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| Veröffentlicht in: | Vascular and endovascular surgery 2013-01, Vol.47 (1), p.65-69 |
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| creator | Ishikawa, Noboru Maruta, Kazuto Oi, Masaya Iizuka, Hirofumi Kawaura, Hiroyuki Omoto, Tadashi |
| description | Aorto-esophageal fistula (AEF) is a rare complication of esophageal carcinoma. Left untreated, it may be lethal due to massive upper gastrointestinal bleeding, while open thoracic surgery is associated with high operative mortality and morbidity. In contrast, thoracic endovascular aortic repair (TEVAR) for AEF is less invasive than open thoracic surgery. Here, we report 3 successful cases of AEF with esophageal carcinoma treated using TEVAR under local anesthesia in the emergent or urgent phase. General condition of all the patients was dramatically improved, but 1 patient with exsanguinations developed infection of the implanted stent-graft and died due to sepsis. The other 2 patients were treated before esophageal bleeding and remained alive for 1 year without infection. The TEVAR should be considered as early as possible in patients with advanced esophageal carcinoma receiving radiation or chemotherapy who develop early signs of AEF such as symptoms of chest discomfort or descending aortic irregularity on computed tomography scan. |
| doi_str_mv | 10.1177/1538574412467858 |
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Left untreated, it may be lethal due to massive upper gastrointestinal bleeding, while open thoracic surgery is associated with high operative mortality and morbidity. In contrast, thoracic endovascular aortic repair (TEVAR) for AEF is less invasive than open thoracic surgery. Here, we report 3 successful cases of AEF with esophageal carcinoma treated using TEVAR under local anesthesia in the emergent or urgent phase. General condition of all the patients was dramatically improved, but 1 patient with exsanguinations developed infection of the implanted stent-graft and died due to sepsis. The other 2 patients were treated before esophageal bleeding and remained alive for 1 year without infection. 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Left untreated, it may be lethal due to massive upper gastrointestinal bleeding, while open thoracic surgery is associated with high operative mortality and morbidity. In contrast, thoracic endovascular aortic repair (TEVAR) for AEF is less invasive than open thoracic surgery. Here, we report 3 successful cases of AEF with esophageal carcinoma treated using TEVAR under local anesthesia in the emergent or urgent phase. General condition of all the patients was dramatically improved, but 1 patient with exsanguinations developed infection of the implanted stent-graft and died due to sepsis. The other 2 patients were treated before esophageal bleeding and remained alive for 1 year without infection. The TEVAR should be considered as early as possible in patients with advanced esophageal carcinoma receiving radiation or chemotherapy who develop early signs of AEF such as symptoms of chest discomfort or descending aortic irregularity on computed tomography scan.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aorta, Thoracic - surgery</subject><subject>Aortic Diseases - etiology</subject><subject>Aortic Diseases - surgery</subject><subject>Aortography - methods</subject><subject>Blood Vessel Prosthesis Implantation</subject><subject>Carcinoma - complications</subject><subject>Carcinoma - pathology</subject><subject>Carcinoma - therapy</subject><subject>Endovascular Procedures</subject><subject>Esophageal Fistula - etiology</subject><subject>Esophageal Fistula - surgery</subject><subject>Esophageal Neoplasms - complications</subject><subject>Esophageal Neoplasms - pathology</subject><subject>Esophageal Neoplasms - therapy</subject><subject>Esophagoscopy</subject><subject>Fatal Outcome</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Vascular Fistula - etiology</subject><subject>Vascular Fistula - surgery</subject><issn>1538-5744</issn><issn>1938-9116</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM9LwzAcxYMobk7vniRHL9X8apoex9hUGCgy8RiSNHMZbVOTVvC_N2NTRPD0_cL7vAfvAXCJ0Q3GRXGLcyrygjFMGC9ELo7AGJdUZCXG_Dj9Sc52-gicxbhFCAvMxCkYEUoIxUU5BnK18UEZZ-C8rfyHimaoVYDPtlMuwLUPcOpD77N59N1GvVlVw4WLfYKga-GT6p1t-whfXb-Bv5iZCsa1vlHn4GSt6mgvDncCXhbz1ew-Wz7ePcymy8yQEvWZ0jnRVZ5K0dSEG1JxTYnGHFteMIIsMlpQa5AVTDOtyqKygtBcIKMY55ROwPU-twv-fbCxl42Lxta1aq0fosSkoDwvKUYJRXvUBB9jsGvZBdeo8CkxkrtZ5d9Zk-XqkD7oxlY_hu8dE5DtgZj6y60fQpva_h_4BUIJfwc</recordid><startdate>201301</startdate><enddate>201301</enddate><creator>Ishikawa, Noboru</creator><creator>Maruta, Kazuto</creator><creator>Oi, Masaya</creator><creator>Iizuka, Hirofumi</creator><creator>Kawaura, Hiroyuki</creator><creator>Omoto, Tadashi</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201301</creationdate><title>Thoracic Endovascular Repair for Aorto-Esophageal Fistula in Patients With Esophageal Carcinoma</title><author>Ishikawa, Noboru ; Maruta, Kazuto ; Oi, Masaya ; Iizuka, Hirofumi ; Kawaura, Hiroyuki ; Omoto, Tadashi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c290t-ab52bd511734676c2d6b32b161e67420e0cb83ec0e84b4ba97de823580ca46633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aorta, Thoracic - surgery</topic><topic>Aortic Diseases - etiology</topic><topic>Aortic Diseases - surgery</topic><topic>Aortography - methods</topic><topic>Blood Vessel Prosthesis Implantation</topic><topic>Carcinoma - complications</topic><topic>Carcinoma - pathology</topic><topic>Carcinoma - therapy</topic><topic>Endovascular Procedures</topic><topic>Esophageal Fistula - etiology</topic><topic>Esophageal Fistula - surgery</topic><topic>Esophageal Neoplasms - complications</topic><topic>Esophageal Neoplasms - pathology</topic><topic>Esophageal Neoplasms - therapy</topic><topic>Esophagoscopy</topic><topic>Fatal Outcome</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Vascular Fistula - etiology</topic><topic>Vascular Fistula - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ishikawa, Noboru</creatorcontrib><creatorcontrib>Maruta, Kazuto</creatorcontrib><creatorcontrib>Oi, Masaya</creatorcontrib><creatorcontrib>Iizuka, Hirofumi</creatorcontrib><creatorcontrib>Kawaura, Hiroyuki</creatorcontrib><creatorcontrib>Omoto, Tadashi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Vascular and endovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ishikawa, Noboru</au><au>Maruta, Kazuto</au><au>Oi, Masaya</au><au>Iizuka, Hirofumi</au><au>Kawaura, Hiroyuki</au><au>Omoto, Tadashi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Thoracic Endovascular Repair for Aorto-Esophageal Fistula in Patients With Esophageal Carcinoma: Report of 3 Cases</atitle><jtitle>Vascular and endovascular surgery</jtitle><addtitle>Vasc Endovascular Surg</addtitle><date>2013-01</date><risdate>2013</risdate><volume>47</volume><issue>1</issue><spage>65</spage><epage>69</epage><pages>65-69</pages><issn>1538-5744</issn><eissn>1938-9116</eissn><abstract>Aorto-esophageal fistula (AEF) is a rare complication of esophageal carcinoma. Left untreated, it may be lethal due to massive upper gastrointestinal bleeding, while open thoracic surgery is associated with high operative mortality and morbidity. In contrast, thoracic endovascular aortic repair (TEVAR) for AEF is less invasive than open thoracic surgery. Here, we report 3 successful cases of AEF with esophageal carcinoma treated using TEVAR under local anesthesia in the emergent or urgent phase. General condition of all the patients was dramatically improved, but 1 patient with exsanguinations developed infection of the implanted stent-graft and died due to sepsis. The other 2 patients were treated before esophageal bleeding and remained alive for 1 year without infection. The TEVAR should be considered as early as possible in patients with advanced esophageal carcinoma receiving radiation or chemotherapy who develop early signs of AEF such as symptoms of chest discomfort or descending aortic irregularity on computed tomography scan.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>23223179</pmid><doi>10.1177/1538574412467858</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; SAGE Complete; Alma/SFX Local Collection |
| subjects | Aged Aged, 80 and over Aorta, Thoracic - surgery Aortic Diseases - etiology Aortic Diseases - surgery Aortography - methods Blood Vessel Prosthesis Implantation Carcinoma - complications Carcinoma - pathology Carcinoma - therapy Endovascular Procedures Esophageal Fistula - etiology Esophageal Fistula - surgery Esophageal Neoplasms - complications Esophageal Neoplasms - pathology Esophageal Neoplasms - therapy Esophagoscopy Fatal Outcome Female Humans Male Tomography, X-Ray Computed Treatment Outcome Vascular Fistula - etiology Vascular Fistula - surgery |
| title | Thoracic Endovascular Repair for Aorto-Esophageal Fistula in Patients With Esophageal Carcinoma: Report of 3 Cases |
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