Relining of infrarenal stent-graft with preloaded modified Gore Excluder for occult endoleak with sac expansion.
Cannulation
Contralateral gate
Endovascular aortic repair
Infrarenal abdominal aortic aneurysm
Metal artifact
Occult endoleak
Journal
Journal of vascular surgery cases and innovative techniques
ISSN: 2468-4287
Titre abrégé: J Vasc Surg Cases Innov Tech
Pays: United States
ID NLM: 101701125
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
01
04
2021
accepted:
10
07
2021
entrez:
25
10
2021
pubmed:
26
10
2021
medline:
26
10
2021
Statut:
epublish
Résumé
Endoleaks remain one of the most common indications for reintervention after endovascular aortic repair. Occasionally, aneurysm sac expansion will occur in the absence of a visible endoleak or due to endotension. We describe a case of continued sac expansion without an identifiable endoleak after endovascular aortic repair. Technical challenges during the case included a short distance from the renal arteries to the flow divider and a significant metal artifact. These challenges were addressed by shortening the gate of a Gore Excluder (W.L. Gore & Associates, Flagstaff, Ariz) to the desired length. The contralateral gate was preloaded to allow for use of the snare-ride technique for gate cannulation and overcome the metal artifact that was hindering visualization.
Identifiants
pubmed: 34693100
doi: 10.1016/j.jvscit.2021.07.007
pii: S2468-4287(21)00136-2
pmc: PMC8515168
doi:
Types de publication
Case Reports
Langues
eng
Pagination
669-674Informations de copyright
© 2021 Published by Elsevier Inc. on behalf of Society for Vascular Surgery.
Références
Eur J Vasc Endovasc Surg. 2018 Dec;56(6):794-807
pubmed: 30104089
CVIR Endovasc. 2019 Oct 27;2(1):34
pubmed: 32026021
Ann Vasc Surg. 2020 Aug;67:223-231
pubmed: 32173471
J Vasc Surg Cases Innov Tech. 2020 Nov 28;7(1):84-88
pubmed: 33665538
Semin Interv Cardiol. 2000 Mar;5(1):35-46
pubmed: 10875222
J Vasc Surg. 2017 Oct;66(4):1285-1289
pubmed: 28705593
J Vasc Surg. 2002 Mar;35(3):461-73
pubmed: 11877693
Eur J Vasc Endovasc Surg. 2019 Oct;58(4):511
pubmed: 31405727
J Endovasc Ther. 2017 Aug;24(4):556-558
pubmed: 28514896
Ann Vasc Surg. 2016 Feb;31:229-38
pubmed: 26627324
J Vasc Surg. 2016 Sep;64(3):600-4
pubmed: 27565586
Invest Radiol. 2010 Sep;45(9):548-53
pubmed: 20644485
J Vasc Surg. 2012 Aug;56(2):538-41
pubmed: 22703976