Stent graft infections and secondary aorto-enteric fistulas after EVAR

In the last decades, the field of vascular surgery has been revolutionized by the introduction and ever-rising growth of endovascular techniques, mainly owing to their reduced morbidity and mortality rates as compared with conventional open surgical approaches. However, as for the open surgical approach, peri- and post-procedural complications remain just around the corner to restrain the potential benefit of the endovascular treatment for the patients and dampen the mood of vascular specialists. Complications and failures after invasive procedures may still represent one of the most challenging scenarios that physicians will face in their practice. How to prevent, recognize and manage these instances in a prompt and effective manner is an area of never-ending effort for healthcare practitioners. For the above reasons, it is reasonable to say that the “endovascular revolution” has created a new spectrum of complications and failures, and no safety net exists even after minimally invasive endovascular procedures. Despite the abundance of textbooks devoted to endovascular techniques, there is still a paucity of academic resources that specifically address these challenging scenarios. How to address those complications and failures instances is not commonplace even at major scientific meetings and it is not unusual for many operators to share their complications and failures only privately. Furthermore, clinical trials are not ideally suited to answer these many questions, as the incidence and quality of adverse events will continue to change as new treatment modalities come into play. This book, titled “Complications and failures of endovascular surgery. A practical textbook of diagnosis and treatment” addresses the management of a wide range of early complications and late failures resulting from endovascular treatment of vascular pathologies, thereby providing all physicians involved in endovascular interventions with a concise, yet exhaustive, reference that will conveniently help their everyday practice.