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Complications - Abdominal Aortic Aneurysm - Endovascular Therapy

  1. Intraoperative Complications

    Primary access problems in the area of the femoral artery due to arteriosclerotic changes

    • Prophylaxis: thorough clinical examination, if necessary preoperative angiographic clarification, intraoperative subtle preparation of the inguinal vessels
    • Management: vascular surgical reconstruction (thromboendarterectomy, patch plasty, bypass or similar)

    Dissection or rupture in the course of the iliac artery or aorta due to endovascular materials (wires, catheters, sheaths, endoprosthesis)

    • Prophylaxis: Manipulations only under X-ray control
    • Management: Final check of arterial inflow and radiological control, leave guidewire in-situ for further interventions, vascular surgical reconstruction after extraperitoneal or transperitoneal exposure

    Peripheral Embolism

    • Prophylaxis: controlled manipulation, perioperative heparin administration
    • Management: radiological or vascular surgical intervention

    Handling errors during implantation of the endoprosthesis

    • Prophylaxis: Theoretical and practical exercises regarding the characteristics of the individual products (markings, release mechanism etc.)
    • Management: Interventional correction, conversion
Postoperative Complications

Wound healing disorders in the groins or lymph fistulaProphylaxis: Preparation technique, periopera

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