Document Detail

Proximal Type I Endoleak After Previous EVAR With Palmaz Stents Crossing the Renal Arteries: Treatment Using a Fenestrated Cuff.
MedLine Citation:
PMID:  23046335     Owner:  NLM     Status:  In-Data-Review    
Purpose : To report the use of a fenestrated cuff for endovascular treatment of a proximal type I endoleak after previous endovascular aneurysm repair (EVAR) that included 2 suprarenal cuffs and 2 Palmaz stents. Case Report : A 71-year-old man had been treated for an infrarenal abdominal aortic aneurysm with a Powerlink stent-graft, 2 additional proximal cuffs with suprarenal fixation, and 2 Palmaz stents extending over the renal arteries. Follow-up demonstrated a type I endoleak and an increase in aneurysm size. A 2-stage endovascular approach featuring a fenestrated cuff was undertaken. Prior to the endoleak repair procedure, both renal arteries were catheterized and the Palmaz stent struts dilated. When the customized fenestrated cuff was available, it was successfully positioned with covered stents in the fenestrations, completely excluding the proximal type I endoleak. Conclusion : Fenestrated stent-grafting is a viable alternative to open repair after failed EVAR, even when previously implanted bare metal stents cross the renal orifices.
Kyriakos Oikonomou; Balasz Botos; Umberto M Bracale; Eric L G Verhoeven
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  19     ISSN:  1545-1550     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  672-6     Citation Subset:  IM    
Department of Vascular and Endovascular Surgery, Klinikum Nürnberg Süd, Germany.
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