An unusual cause of failure in Zenith Alpha Abdominal endograft.

Autor: Berchiolli RN; Vascular Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy., 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., Bargellini I; Interventional Radiology Department, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy., Bertagna G; Vascular Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy., Adami D; Vascular Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy., Mocellin DM; Vascular Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy., Cioni R; Interventional Radiology Department, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy., Ferrari M; Vascular Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy., Troisi N; Vascular Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Jazyk: angličtina
Zdroj: European journal of medical research [Eur J Med Res] 2022 Mar 02; Vol. 27 (1), pp. 32. Date of Electronic Publication: 2022 Mar 02.
DOI: 10.1186/s40001-022-00656-5
Abstrakt: Background: Graft disruption is an unusual complication of the endovascular abdominal aortic aneurysm repair (EVAR).
Case Presentation: 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: 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.
(© 2022. The Author(s).)
Databáze: MEDLINE
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