A Complex Case of Synchronous Thoracic And Abdominal Endoleak Repair With Custom-Made Relay Nbs Thoracic Stent Graft And Abdominal Open Reconstruction.

A Complex Case of Synchronous Thoracic And Abdominal Endoleak Repair With Custom-Made Relay Nbs Thoracic Stent Graft And Abdominal Open Reconstruction.

Ann Vasc Surg. 2018 Nov 26;:

Authors: Georgakarakos E, Koutsoumpelis A, Popidis S, Tasopoulou KM, Georgiadis GS

Abstract
A 71-year old patient with previous thoracic aneurysm endovascular repair (TEVAR) and endovascular abdominal aneurysm repair (EVAR) presented with simultaneous type-III endoleak from the thoracic components and type-Ia endoleak from migration of the abdominal endograft, leading to enlargement of both aneurysms. A custom-made reverse tapered RELAY NBS thoracic endograft was used to bridge the thoracic stent-grafts. While a low-flow type 3 endoleak persisted in the immediate postoperative phase, due to incomplete apposition of the new stent-graft, further deployment of its Nitinol skeleton resulted in resolution of the endoleak at 1-week follow-up. The abdominal aneurysm enlargement was corrected via excision of the central segment of the abdominal endograft, preservation of the distal main body and limbs and interposition of a short Dacron tube graft.

PMID: 30496897 [PubMed - as supplied by publisher]

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