Endovascular Graft Suprarenal Bare Metal Stent Separation After Endovascular Aneurysm Repair: Case Reports and Literature Review

Objective: Suprarenal bare metal stent separation is a rare complication after endovascular aneurysm repair. In this report, two new cases of this type of device failure are presented and the literature is reviewed to identify similar cases and evaluate associated clinical characteristics. Methods:...

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Main Authors: Jeffrey M.A. van der Krogt, Anne C. van Erp, Stefan P.M. Smorenburg, Martine C.M. Willems, Johanna H. Nederhoed
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:EJVES Vascular Forum
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666688X23000680
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author Jeffrey M.A. van der Krogt
Anne C. van Erp
Stefan P.M. Smorenburg
Martine C.M. Willems
Johanna H. Nederhoed
author_facet Jeffrey M.A. van der Krogt
Anne C. van Erp
Stefan P.M. Smorenburg
Martine C.M. Willems
Johanna H. Nederhoed
author_sort Jeffrey M.A. van der Krogt
collection DOAJ
description Objective: Suprarenal bare metal stent separation is a rare complication after endovascular aneurysm repair. In this report, two new cases of this type of device failure are presented and the literature is reviewed to identify similar cases and evaluate associated clinical characteristics. Methods: A literature search was conducted in March 2022 using PubMed, Embase, and The Cochrane Library, with MeSH terms including aortic aneurysm, stents, and device failure. Two authors independently selected studies eligible for inclusion. Results: Twelve patients with endovascular graft suprarenal bare metal stent separation were identified. Endovascular aneurysm repair (EVAR) devices were implanted between May 1996 and November 2017. Suprarenal bare metal stent separation was detected after a median duration of five years post-operatively. Conclusion: Endovascular graft suprarenal bare metal stent separation demands a high level of awareness. A better understanding of the involved failure mechanisms and associated risk factors is required to further optimise EVAR follow up protocols.
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spelling doaj.art-7b845d3afc0344d18cf8fe12914d918b2023-11-28T07:27:08ZengElsevierEJVES Vascular Forum2666-688X2023-01-01602832Endovascular Graft Suprarenal Bare Metal Stent Separation After Endovascular Aneurysm Repair: Case Reports and Literature ReviewJeffrey M.A. van der Krogt0Anne C. van Erp1Stefan P.M. Smorenburg2Martine C.M. Willems3Johanna H. Nederhoed4Department of Surgery, Amsterdam UMC, Location AMC, Amsterdam, the NetherlandsDepartment of Surgery, Amsterdam UMC, Location AMC, Amsterdam, the NetherlandsDepartment of Surgery, Amsterdam UMC, Location AMC, Amsterdam, the Netherlands; Amsterdam Cardiovascular Sciences, Amsterdam, the NetherlandsDepartment of Surgery, Amsterdam UMC, Location AMC, Amsterdam, the NetherlandsDepartment of Surgery, Amsterdam UMC, Location AMC, Amsterdam, the Netherlands; Amsterdam Cardiovascular Sciences, Amsterdam, the Netherlands; Corresponding author. Department of Vascular Surgery, Amsterdam UMC, location AMC, Meibergdreef 9, 1105AZ, Amsterdam, the Netherlands.Objective: Suprarenal bare metal stent separation is a rare complication after endovascular aneurysm repair. In this report, two new cases of this type of device failure are presented and the literature is reviewed to identify similar cases and evaluate associated clinical characteristics. Methods: A literature search was conducted in March 2022 using PubMed, Embase, and The Cochrane Library, with MeSH terms including aortic aneurysm, stents, and device failure. Two authors independently selected studies eligible for inclusion. Results: Twelve patients with endovascular graft suprarenal bare metal stent separation were identified. Endovascular aneurysm repair (EVAR) devices were implanted between May 1996 and November 2017. Suprarenal bare metal stent separation was detected after a median duration of five years post-operatively. Conclusion: Endovascular graft suprarenal bare metal stent separation demands a high level of awareness. A better understanding of the involved failure mechanisms and associated risk factors is required to further optimise EVAR follow up protocols.http://www.sciencedirect.com/science/article/pii/S2666688X23000680Aortic aneurysmDevice failureEndovascular aneurysm repairStent graftSuprarenal fixation
spellingShingle Jeffrey M.A. van der Krogt
Anne C. van Erp
Stefan P.M. Smorenburg
Martine C.M. Willems
Johanna H. Nederhoed
Endovascular Graft Suprarenal Bare Metal Stent Separation After Endovascular Aneurysm Repair: Case Reports and Literature Review
EJVES Vascular Forum
Aortic aneurysm
Device failure
Endovascular aneurysm repair
Stent graft
Suprarenal fixation
title Endovascular Graft Suprarenal Bare Metal Stent Separation After Endovascular Aneurysm Repair: Case Reports and Literature Review
title_full Endovascular Graft Suprarenal Bare Metal Stent Separation After Endovascular Aneurysm Repair: Case Reports and Literature Review
title_fullStr Endovascular Graft Suprarenal Bare Metal Stent Separation After Endovascular Aneurysm Repair: Case Reports and Literature Review
title_full_unstemmed Endovascular Graft Suprarenal Bare Metal Stent Separation After Endovascular Aneurysm Repair: Case Reports and Literature Review
title_short Endovascular Graft Suprarenal Bare Metal Stent Separation After Endovascular Aneurysm Repair: Case Reports and Literature Review
title_sort endovascular graft suprarenal bare metal stent separation after endovascular aneurysm repair case reports and literature review
topic Aortic aneurysm
Device failure
Endovascular aneurysm repair
Stent graft
Suprarenal fixation
url http://www.sciencedirect.com/science/article/pii/S2666688X23000680
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AT stefanpmsmorenburg endovasculargraftsuprarenalbaremetalstentseparationafterendovascularaneurysmrepaircasereportsandliteraturereview
AT martinecmwillems endovasculargraftsuprarenalbaremetalstentseparationafterendovascularaneurysmrepaircasereportsandliteraturereview
AT johannahnederhoed endovasculargraftsuprarenalbaremetalstentseparationafterendovascularaneurysmrepaircasereportsandliteraturereview