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Proximal abdominal aortic endograft collapse: endovascular repair. ANGIOLOGIA 2021. [DOI: 10.20960/angiologia.00356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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2
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Collapsed bifurcated modular infrarenal endograft. J Vasc Surg 2019; 70:600-605. [DOI: 10.1016/j.jvs.2018.12.049] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2018] [Accepted: 12/02/2018] [Indexed: 11/17/2022]
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3
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Ostapenko A, Richard MN, Dietzek AM. Rare Case of Acute Type B Dissection Causing Complete Collapse of EVAR Stent. Vasc Endovascular Surg 2019; 53:420-423. [PMID: 30935297 DOI: 10.1177/1538574419840873] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
We describe a unique case of an acute type B aortic dissection in a patient with a history of a previously placed infrarenal aortic stent for an abdominal aortic aneurysm. The patient presented with a hypertensive emergency and left lower extremity ischemia, and imaging revealed complete collapse of the previously placed stent graft with extension into the iliac limbs. He underwent emergent endovascular intervention. When the false lumen was entered by puncturing the dissection plane with a sheath, immediate reexpansion of the stent graft was observed. The entry point of the dissection was covered with 2 overlapping stents, restoring flow within the true lumen. Although aortic stent collapse from acute type B aortic dissections is extremely rare, we demonstrate that endovascular release of the outflow obstruction and depressurizing the false lumen can resolve this dreaded complication.
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Affiliation(s)
| | - Michele N Richard
- 1 Department of Vascular Surgery, Danbury Hospital, Danbury, CT, USA
| | - Alan M Dietzek
- 1 Department of Vascular Surgery, Danbury Hospital, Danbury, CT, USA
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Lareyre F, Mialhe C, Dommerc C, Raffort J. Endovascular Aneurysm Sealing of a Collapsed and Thrombosed Aortic Stent-Graft With Renovisceral Chimney Stent-Grafts. J Endovasc Ther 2018; 26:72-75. [PMID: 30395489 DOI: 10.1177/1526602818811915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
PURPOSE To report the use of the Nellix endovascular aneurysm sealing (EVAS) system in the management of proximal stent-graft collapse associated with thrombosis following endovascular aneurysm repair (EVAR). CASE REPORT A 76-year-old man was admitted for proximal collapse of an aortic extension following bifurcated AFX stent-graft implantation associated with chimney grafts in both renal arteries and the superior mesenteric artery 1 month prior. Imaging identified thrombosis of the aortic stent-graft and the iliac limbs. A Nellix EVAS was placed into the AFX stent-graft to recanalize the aneurysm lumen and address the aortic thrombosis. There was no endoleak, and the renovisceral chimney stent-grafts remained patent over a follow-up of 25 months. CONCLUSION While further studies are required to generalize its use, EVAS appears to be feasible in the management of aortic stent-graft collapse.
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Affiliation(s)
- Fabien Lareyre
- 1 Cardiovascular Surgery Unit, Cardio Thoracic Centre of Monaco, Monaco.,2 Université Côte d'Azur, CHU, Inserm, C3M, Nice, France
| | - Claude Mialhe
- 1 Cardiovascular Surgery Unit, Cardio Thoracic Centre of Monaco, Monaco
| | - Carine Dommerc
- 1 Cardiovascular Surgery Unit, Cardio Thoracic Centre of Monaco, Monaco
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Mohapatra A, Magnetta MJ, Snatchko ME, Baril DT. Acute aortic occlusion secondary to aortic endograft migration and collapse. JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES 2018; 3:183-184. [PMID: 29349416 PMCID: PMC5764851 DOI: 10.1016/j.jvscit.2016.10.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/20/2016] [Accepted: 10/29/2016] [Indexed: 11/19/2022]
Affiliation(s)
- Abhisekh Mohapatra
- Division of Vascular Surgery, Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pa
| | - Michael J. Magnetta
- Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, Pa
| | - Mark E. Snatchko
- Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, Pa
| | - Donald T. Baril
- Division of Vascular Surgery, Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pa
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Zelt JG, Jetty P, Hadziomerovic A, Nagpal S. Infolding of fenestrated endovascular stent graft. J Vasc Surg Cases Innov Tech 2017; 3:159-162. [PMID: 29349408 PMCID: PMC5764892 DOI: 10.1016/j.jvscit.2017.04.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2016] [Accepted: 04/30/2017] [Indexed: 11/29/2022] Open
Abstract
We report a case of infolding of a fenestrated stent graft involving the visceral vessel segment after a juxtarenal abdominal aorta aneurysm repair. The patient remains free of any significant endoleak, and the aortic sac has shown regression. The patient remains asymptomatic, with no abdominal pain, with normal renal function, and without ischemic limb complications. We hypothesize that significant graft oversizing (20%-30%) with asymmetric engineering of the diameter-reducing ties may have contributed to the infolding. Because of the patient's asymptomatic nature and general medical comorbidities, further intervention was deemed inappropriate as the aneurysmal sac is regressing despite the infolding.
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Affiliation(s)
- Jason G.E. Zelt
- Molecular Function and Imaging Program, National Cardiac PET Centre, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
- Cardiac Research Methods Centre, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
- Division of Cardiology, Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada
- Department of Cellular and Molecular Medicine, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
| | - Prasad Jetty
- Division of Vascular Surgery, University of Ottawa, Ottawa, Ontario, Canada
- Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ontario, Canada
| | - Adnan Hadziomerovic
- Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, Ontario, Canada
| | - Sudhir Nagpal
- Division of Vascular Surgery, University of Ottawa, Ottawa, Ontario, Canada
- Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ontario, Canada
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Abdominal Aortic Endograft Collapse Due to False Lumen Radial Force of an Acute Type B Aortic Dissection. Ann Vasc Surg 2014; 28:1931.e9-1931.e12. [DOI: 10.1016/j.avsg.2014.06.067] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2014] [Revised: 06/07/2014] [Accepted: 06/11/2014] [Indexed: 11/18/2022]
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Mestres G, Uribe J, García-Madrid C, Miret E, Alomar X, Burrell M, Riambau V. The Best Conditions for Parallel Stenting During EVAR: An In Vitro Study. Eur J Vasc Endovasc Surg 2012; 44:468-73. [DOI: 10.1016/j.ejvs.2012.08.007] [Citation(s) in RCA: 70] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2012] [Accepted: 08/21/2012] [Indexed: 11/24/2022]
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Moulakakis KG, Dalainas I, Giannakopoulos TG, Avgerinos E, Liapis CD. Abdominal aortic endograft proximal collapse resulting in aortic aneurysm rupture. Vascular 2011; 19:159-62. [DOI: 10.1258/vasc.2010.cr0259] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
An 82-year-old man was transferred to our emergency department due to acute abdominal pain. He had undergone an endovascular abdominal aortic aneurysm repair (EVAR) six years ago. An intravenous contrast-enhanced abdominal computed tomography revealed the rupture of the abdominal aortic aneurysm (AAA) with a large retroperitoneal hematoma. A Talent (Medtronic, Santa Rosa, CA, USA) modular bifurcated endoprosthesis had vertically collapsed approximately 7 cm after losing its infrarenal fixation. As a result, it led to the repressurization of the aneurysm sac and rupture. The patient was successfully treated by placing three Talent (Medtronic) aortic cuffs. To our knowledge, this is the first reported case of endograft collapse that has manifested with aortic aneurysm rupture. Although they are gradually declining, considerable rates of complications create the ‘Achilles’ heel' of endovascular repair of AAAs. A lifelong follow-up strategy for patients treated for AAA with EVAR is essential for the early detection and treatment of complications of the procedure.
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Affiliation(s)
- Konstantinos G Moulakakis
- Department of Vascular Surgery, Athens University Medical School, Attikon University Hospital, Athens, Greece
| | - Ilias Dalainas
- Department of Vascular Surgery, Athens University Medical School, Attikon University Hospital, Athens, Greece
| | | | - Efthimios Avgerinos
- Department of Vascular Surgery, Athens University Medical School, Attikon University Hospital, Athens, Greece
| | - Christos D Liapis
- Department of Vascular Surgery, Athens University Medical School, Attikon University Hospital, Athens, Greece
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Sfyroeras GS, Maras D, Andrikopoulos V. Abdominal Endograft Collapse with Acute Bilateral Lower Limb Ischemia. J Vasc Interv Radiol 2011; 22:570-2. [DOI: 10.1016/j.jvir.2010.12.026] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2010] [Revised: 12/03/2010] [Accepted: 12/18/2010] [Indexed: 10/18/2022] Open
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