<p><b>OBJECTIVE</b>To investigate the
methods and effects of
secondary intervention for mid-long term
complications of endovascular repair (EVR) in
aortic diseases.</p><p><b>
METHODS</b>From May 1999 to Jun 2007, 21
patients with mid-long term
complications after EVR were treated in our center. Of these cases, 15 cases received first EVR for
abdominal aortic aneurysm (AAA), 3 cases for
thoracic aortic aneurysm (TAA) and 3 cases for
aortic dissection (TAD). The mid-long term
complications included 11 cases of type I
endoleak, 4 cases of type II
endoleak, 2 cases of type III
endoleak and 4 cases of migration of
stent grafts. Proximal or distal extensions were used for type I and III
endoleak in 9 cases. Fenestrated,
scallop and bifurcated
stent grafts were used to reconstruct the
aortic arch in 3 cases. Emboli
technique was used in treating type II
endoleak.
Thrombectomy and bypass
technique were used in 4 cases with
stent graft limb occlusion. One ruptured AAA accepted open
surgery.</p><p><b>RESULTS</b>
Secondary endovascular technique were undergone in 20 (95.2%) cases. One case died in 30 days after the
secondary intervention and
endoleak remained after the
secondary operation in 5 cases. Three cases died of the
secondary intervention.</p><p><b>CONCLUSIONS</b>
Endoleak and
limb occlusion were the chief mid-long
complications after EVR.
Secondary endovascular technique can be used in most cases and carries great challenges in
aortic arch lesions.</p>