ENDOVASCULAR TREATMENT OF LATE THORACIC ENDOGRAFT MIGRATION

Introduction and Purpose: Endograft migration after EVAR is rare. There are even fewer reports in the literature describing endograft migration treatment in the thoracic aorta. We report a successful treatment of a migrated endograft after TEVAR. Methods and Results: We report the case of a pati...

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Main Authors: Ricardo Gouveia, Victor Martins, Daniel Brandão, Pedro Brandão, Pedro Sousa, Jacinta Campos, Andreia Coelho, Rita Augusto, Nuno Coelho, Alexandra Canedo
Format: Article
Language:Portuguese
Published: Sociedade Portuguesa de Angiologia e Cirurgia Vascular 2017-11-01
Series:Angiologia e Cirurgia Vascular
Subjects:
Online Access:https://acvjournal.com/index.php/acv/article/view/118
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author Ricardo Gouveia
Victor Martins
Daniel Brandão
Pedro Brandão
Pedro Sousa
Jacinta Campos
Andreia Coelho
Rita Augusto
Nuno Coelho
Alexandra Canedo
author_facet Ricardo Gouveia
Victor Martins
Daniel Brandão
Pedro Brandão
Pedro Sousa
Jacinta Campos
Andreia Coelho
Rita Augusto
Nuno Coelho
Alexandra Canedo
author_sort Ricardo Gouveia
collection DOAJ
description Introduction and Purpose: Endograft migration after EVAR is rare. There are even fewer reports in the literature describing endograft migration treatment in the thoracic aorta. We report a successful treatment of a migrated endograft after TEVAR. Methods and Results: We report the case of a patient previously submitted to TEVAR, about 15 years ago. He was admitted in the Emergency Department for chest pain. After detecting the endograft migration with detachment from the neck, he was submited to a new endovascular procedure. We performed a partial repositioning of the proximal segment of the endograft with endotraction maneuvers using a balloon and a through-and-through guidewire, and we placed a proximal extention. The procedure was uneventful. Up to eight months of follow-up no complications were reported. Discussion and Conclusion: Treatment of an endograft migration, specially when related to a type Ia endoleak or detachment from the neck, can be regarded as a vascular emergency as well as a technical challenge.
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spelling doaj.art-66730fa423134a028c4ae3934cf312082023-01-16T09:21:26ZporSociedade Portuguesa de Angiologia e Cirurgia VascularAngiologia e Cirurgia Vascular1646-706X2183-00962017-11-0113210.48750/acv.118ENDOVASCULAR TREATMENT OF LATE THORACIC ENDOGRAFT MIGRATIONRicardo GouveiaVictor MartinsDaniel BrandãoPedro BrandãoPedro SousaJacinta CamposAndreia CoelhoRita AugustoNuno CoelhoAlexandra Canedo Introduction and Purpose: Endograft migration after EVAR is rare. There are even fewer reports in the literature describing endograft migration treatment in the thoracic aorta. We report a successful treatment of a migrated endograft after TEVAR. Methods and Results: We report the case of a patient previously submitted to TEVAR, about 15 years ago. He was admitted in the Emergency Department for chest pain. After detecting the endograft migration with detachment from the neck, he was submited to a new endovascular procedure. We performed a partial repositioning of the proximal segment of the endograft with endotraction maneuvers using a balloon and a through-and-through guidewire, and we placed a proximal extention. The procedure was uneventful. Up to eight months of follow-up no complications were reported. Discussion and Conclusion: Treatment of an endograft migration, specially when related to a type Ia endoleak or detachment from the neck, can be regarded as a vascular emergency as well as a technical challenge. https://acvjournal.com/index.php/acv/article/view/118AREndograft migrationEndoleak
spellingShingle Ricardo Gouveia
Victor Martins
Daniel Brandão
Pedro Brandão
Pedro Sousa
Jacinta Campos
Andreia Coelho
Rita Augusto
Nuno Coelho
Alexandra Canedo
ENDOVASCULAR TREATMENT OF LATE THORACIC ENDOGRAFT MIGRATION
Angiologia e Cirurgia Vascular
AR
Endograft migration
Endoleak
title ENDOVASCULAR TREATMENT OF LATE THORACIC ENDOGRAFT MIGRATION
title_full ENDOVASCULAR TREATMENT OF LATE THORACIC ENDOGRAFT MIGRATION
title_fullStr ENDOVASCULAR TREATMENT OF LATE THORACIC ENDOGRAFT MIGRATION
title_full_unstemmed ENDOVASCULAR TREATMENT OF LATE THORACIC ENDOGRAFT MIGRATION
title_short ENDOVASCULAR TREATMENT OF LATE THORACIC ENDOGRAFT MIGRATION
title_sort endovascular treatment of late thoracic endograft migration
topic AR
Endograft migration
Endoleak
url https://acvjournal.com/index.php/acv/article/view/118
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