Acute occlusion of aortic endovascular aneurysm repair stent graft with bilateral limb ischemia

Endovascular aneurysm repair has dramatically changed the management of abdominal aortic aneurysms as an alternative to open repair. However, complications can occur, including stent graft migration, kinking, and occlusion, leading to compromise of the excluded aneurysm walls and acute limb ischemia...

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Bibliographic Details
Main Authors: Min H. Choi, BS, Dawn M. Salvatore, MD, Paul J. DiMuzio, MD, Michael J. Nooromid, MD, B. Abai, MD
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
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Online Access:http://www.sciencedirect.com/science/article/pii/S2468428722000284
Description
Summary:Endovascular aneurysm repair has dramatically changed the management of abdominal aortic aneurysms as an alternative to open repair. However, complications can occur, including stent graft migration, kinking, and occlusion, leading to compromise of the excluded aneurysm walls and acute limb ischemia. In the present report, we have described a case of migration and kinking of an abdominal aortic stent graft in the main body that led to occlusion of the abdominal aorta and bilateral acute limb ischemia. The patient required emergent explantation of the stent graft and open repair of the abdominal aneurysm with a rifampin-soaked Dacron graft, which achieved a favorable outcome.
ISSN:2468-4287