An unusual cause of failure in Zenith Alpha Abdominal endograft.


Journal

European journal of medical research
ISSN: 2047-783X
Titre abrégé: Eur J Med Res
Pays: England
ID NLM: 9517857

Informations de publication

Date de publication:
02 Mar 2022
Historique:
received: 23 05 2021
accepted: 09 02 2022
entrez: 3 3 2022
pubmed: 4 3 2022
medline: 22 3 2022
Statut: epublish

Résumé

Graft disruption is an unusual complication of the endovascular abdominal aortic aneurysm repair (EVAR). A 71-year-old man underwent standard EVAR with Zenith Alpha Abdominal endograft. Follow-up examinations revealed an initial significant sac shrinkage. At 24 months, duplex ultrasound (DUS) scan and computed tomography showed increase of the sac diameter associated with complete disconnection of the suprarenal stent-graft from the main body without evidence of endoleak. A standard relining with a thoracic endograft was performed between the suprarenal stent and the main body of the previous graft. At 6 months DUS revealed sac shrinkage. This report demonstrates an uncommon cause of endograft failure with suprarenal stent disconnection from main body and highlights the need for continuous follow-up in patients undergoing EVAR.

Sections du résumé

BACKGROUND BACKGROUND
Graft disruption is an unusual complication of the endovascular abdominal aortic aneurysm repair (EVAR).
CASE PRESENTATION METHODS
A 71-year-old man underwent standard EVAR with Zenith Alpha Abdominal endograft. Follow-up examinations revealed an initial significant sac shrinkage. At 24 months, duplex ultrasound (DUS) scan and computed tomography showed increase of the sac diameter associated with complete disconnection of the suprarenal stent-graft from the main body without evidence of endoleak. A standard relining with a thoracic endograft was performed between the suprarenal stent and the main body of the previous graft. At 6 months DUS revealed sac shrinkage.
CONCLUSIONS CONCLUSIONS
This report demonstrates an uncommon cause of endograft failure with suprarenal stent disconnection from main body and highlights the need for continuous follow-up in patients undergoing EVAR.

Identifiants

pubmed: 35236413
doi: 10.1186/s40001-022-00656-5
pii: 10.1186/s40001-022-00656-5
pmc: PMC8889633
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

32

Commentaires et corrections

Type : ErratumIn

Informations de copyright

© 2022. The Author(s).

Références

J Endovasc Ther. 2019 Apr;26(2):269-272
pubmed: 30799671
J Vasc Surg. 2008 Jul;48(1):1-9
pubmed: 18486418
Surg Technol Int. 2020 Nov 28;37:232-236
pubmed: 33180954
J Endovasc Ther. 2016 Apr;23(2):302-6
pubmed: 26921906
J Endovasc Ther. 2006 Jun;13(3):346-9
pubmed: 16784322
J Endovasc Ther. 2016 Apr;23(2):311-3
pubmed: 26984816
Interv Cardiol Clin. 2020 Apr;9(2):153-168
pubmed: 32147117
Eur J Vasc Endovasc Surg. 2021 Aug;62(2):193-201
pubmed: 34140226
J Endovasc Ther. 2016 Apr;23(2):307-10
pubmed: 26802609

Auteurs

Raffaella N Berchiolli (RN)

Vascular Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.

Michele Marconi (M)

Vascular Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy. michemarconi@gmail.com.
Vascular Surgery Unit, Cardio Thoracic and Vascular Department, Pisa University Hospital, Via Paradisa 2, Pisa, Italy. michemarconi@gmail.com.

Irene Bargellini (I)

Interventional Radiology Department, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy.

Giulia Bertagna (G)

Vascular Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.

Daniele Adami (D)

Vascular Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.

Davide M Mocellin (DM)

Vascular Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.

Roberto Cioni (R)

Interventional Radiology Department, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy.

Mauro Ferrari (M)

Vascular Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.

Nicola Troisi (N)

Vascular Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.

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