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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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
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428722000284
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author Min H. Choi, BS
Dawn M. Salvatore, MD
Paul J. DiMuzio, MD
Michael J. Nooromid, MD
B. Abai, MD
author_facet Min H. Choi, BS
Dawn M. Salvatore, MD
Paul J. DiMuzio, MD
Michael J. Nooromid, MD
B. Abai, MD
author_sort Min H. Choi, BS
collection DOAJ
description 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.
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spelling doaj.art-609b9db56e354180aefab1db40855bb92022-12-22T00:19:55ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872022-06-0182190192Acute occlusion of aortic endovascular aneurysm repair stent graft with bilateral limb ischemiaMin H. Choi, BS0Dawn M. Salvatore, MD1Paul J. DiMuzio, MD2Michael J. Nooromid, MD3B. Abai, MD4Correspondence: Min H. Choi, BS, Department of Vascular and Endovascular Surgery, Thomas Jefferson University, 111 South 11th Street, Suite 6210, Philadelphia, PA 19107; Department of Vascular and Endovascular Surgery, Thomas Jefferson University, Philadelphia, PADepartment of Vascular and Endovascular Surgery, Thomas Jefferson University, Philadelphia, PADepartment of Vascular and Endovascular Surgery, Thomas Jefferson University, Philadelphia, PADepartment of Vascular and Endovascular Surgery, Thomas Jefferson University, Philadelphia, PADepartment of Vascular and Endovascular Surgery, Thomas Jefferson University, Philadelphia, PAEndovascular 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.http://www.sciencedirect.com/science/article/pii/S2468428722000284Abdominal aneurysmAorticEndovascular stent graft
spellingShingle Min H. Choi, BS
Dawn M. Salvatore, MD
Paul J. DiMuzio, MD
Michael J. Nooromid, MD
B. Abai, MD
Acute occlusion of aortic endovascular aneurysm repair stent graft with bilateral limb ischemia
Journal of Vascular Surgery Cases and Innovative Techniques
Abdominal aneurysm
Aortic
Endovascular stent graft
title Acute occlusion of aortic endovascular aneurysm repair stent graft with bilateral limb ischemia
title_full Acute occlusion of aortic endovascular aneurysm repair stent graft with bilateral limb ischemia
title_fullStr Acute occlusion of aortic endovascular aneurysm repair stent graft with bilateral limb ischemia
title_full_unstemmed Acute occlusion of aortic endovascular aneurysm repair stent graft with bilateral limb ischemia
title_short Acute occlusion of aortic endovascular aneurysm repair stent graft with bilateral limb ischemia
title_sort acute occlusion of aortic endovascular aneurysm repair stent graft with bilateral limb ischemia
topic Abdominal aneurysm
Aortic
Endovascular stent graft
url http://www.sciencedirect.com/science/article/pii/S2468428722000284
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