Posted on 12/11/2015
Endovascular repair has substantially contributed towards making aortic aneurysm repair minimally invasive, achieving minimal skin incisions, no manipulation of the intestine and minimal blood loss. However, a post-implantation syndrome characterised by fever, flu-like symptoms, neutrophil leukocytosis and coagulation disturbances, has been observed in terms of the systemic inflammatory response syndrome in 13–60% of patients within the first five days after EVAR.
Apart from the immediate discomfort to the patient, a concern, at least theoretically, could be that post-implantation syndrome may increase the risk of late complications such as endoleak, stent graft migration or aneurysm rupture. The importance of a transient systemic inflammatory response to the sustained biological activity after EVAR is unclear, but it seems releva...