Advertisement

Response to Letter to the Editor

Open AccessPublished:October 21, 2022DOI:https://doi.org/10.1016/j.ejvsvf.2022.10.003
      We would like to thank S Duvnjak et al. for their comments. In our case report,
      • Beijer E.
      • Scholtes V.P.W.
      • Moerbeek P.
      • Coveliers H.M.E.
      • Lely R.J.
      • Hoksbergen A.W.J.
      Endovascular treatment of aortic stump blow-out after extra-anatomical repair of aortoduodenal fistula: a case report and review of literature.
      we elaborated on a complicated case in which the patient developed vascular graft infection years after endovascular repair of an acutely bleeding aortic stump. We stated that in such cases the endovascular salvage repair should be followed by a more definitive treatment when the patient is fit for surgery, especially for of aortoduodenal fistula cases. However, we also expressed our thoughts on patients who are unfit for surgery; they may well benefit from a more conservative approach with culture based antibiotic therapy, making this second best treatment option a reasonable alternative.
      S Duvnjak et al. described a case
      • Duvnjak S.
      • Andersen P.E.
      • Larsen K.E.
      • Roeder O.
      Endovascular repair of postoperative vascular graft related complications after aorto-iliac surgery.
      in which their patient died two years after endovascular intervention for an aortic stump bleed due to a new bleeding complication. This case adds to our above mentioned perspective and suggests that personalised medicine plays a crucial role in the treatment of these vulnerable patients.

      References

        • Beijer E.
        • Scholtes V.P.W.
        • Moerbeek P.
        • Coveliers H.M.E.
        • Lely R.J.
        • Hoksbergen A.W.J.
        Endovascular treatment of aortic stump blow-out after extra-anatomical repair of aortoduodenal fistula: a case report and review of literature.
        CVIR Endovasc. 2020 Apr 13; 3: 21
        • Duvnjak S.
        • Andersen P.E.
        • Larsen K.E.
        • Roeder O.
        Endovascular repair of postoperative vascular graft related complications after aorto-iliac surgery.
        Int Angiol. 2014 Aug; 33: 386-391

      Linked Article

      Comments

      Commenting Guidelines

      To submit a comment for a journal article, please use the space above and note the following:

      • We will review submitted comments as soon as possible, striving for within two business days.
      • This forum is intended for constructive dialogue. Comments that are commercial or promotional in nature, pertain to specific medical cases, are not relevant to the article for which they have been submitted, or are otherwise inappropriate will not be posted.
      • We require that commenters identify themselves with names and affiliations.
      • Comments must be in compliance with our Terms & Conditions.
      • Comments are not peer-reviewed.