This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Dilek Erer Arup K Ghosh Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Erer, D. Articles by Yahia, S. H. Search for Related Content PubMed Articles by Erer, D. Articles by Yahia, S. H. Related Collections Related Article

Abdominal aortic aneursym repair: endovascular treatment or surgical repair in critically unstable patients

Harefield Hospital/Parkwood House, Hill End Road, Harefield, Middlesex, UB9 6JH, UK

Abdominal aortic aneurysm surgery with mechanical support using the Impella^® microaxial blood pump

We read with interest the paper by Farhat et al. in which they presented abdominal aortic aneurysm surgery in a hemodynamically unstable patient with the mechanical support using the Impella microaxial blood pump [1].

We have only one simple concern: What was the contraindication for endovascular treatment? From our point of view, since the patient did not have a contraindication (e.g. iliofemoral stenosis or angulation or approximity to the visceral arteries; i.e. it was possible to clamp the aorta infrarenally), endovascular stent graft repair of the aneurysm would be very appropriate rather than such a challenging procedure beyond all discussions about endovascular treatment and whether it should be done or not [2–5].

	References

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1. Farhat F, Sassard T, Attof Y, Jegaden O. Abdominal aortic aneurysm surgery with mechanical support using the Impella^® microaxial blood pump. Interact CardioVasc Thorac Surg 2008;7:524–526.[Abstract/Free Full Text]
2. Eliason JL, Upchurch GR Jr. Endovascular abdominal aortic aneurysm repair. Circulation 2008;117:1738–1744.[Free Full Text]
3. Parodi JC, Palmaz JC, Barone HD. Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann Vasc Surg 1991;5:491–499.[CrossRef][Medline]
4. Alpagut U, Ugurlucan M, Kafali E, Surmen B, Sayin OA, Guven K, Dayioglu E, Rozanes I, Onursal E. Endoluminal stenting of mycotic saccular aneurysm at the aortic arch. Tex Heart Inst J 2006;33:371–375.[Medline]
5. Baumgart D, Eggebrecht H, Herold U, Kuehl H, Piotrowski J, Niebel W, Jakob HG, Erbel R. Underlying aortic pathology and clinical health status determine success of endovascular stent-grafting for descending thoracic aortic disease. Catheter Cardiovasc Interv 2006;67:527–534.[CrossRef][Medline]

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Dilek Erer Arup K Ghosh Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Erer, D. Articles by Yahia, S. H. Search for Related Content PubMed Articles by Erer, D. Articles by Yahia, S. H. Related Collections Related Article