Infolding of fenestrated endovascular stent graft

We report a case of infolding of a fenestrated stent graft involving the visceral vessel segment after a juxtarenal abdominal aorta aneurysm repair. The patient remains free of any significant endoleak, and the aortic sac has shown regression. The patient remains asymptomatic, with no abdominal pain...

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Main Authors: Jason G.E. Zelt, MSc, Prasad Jetty, MD, Adnan Hadziomerovic, MD, Sudhir Nagpal, MD
Format: Article
Language:English
Published: Elsevier 2017-09-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428717300382
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author Jason G.E. Zelt, MSc
Prasad Jetty, MD
Adnan Hadziomerovic, MD
Sudhir Nagpal, MD
author_facet Jason G.E. Zelt, MSc
Prasad Jetty, MD
Adnan Hadziomerovic, MD
Sudhir Nagpal, MD
author_sort Jason G.E. Zelt, MSc
collection DOAJ
description We report a case of infolding of a fenestrated stent graft involving the visceral vessel segment after a juxtarenal abdominal aorta aneurysm repair. The patient remains free of any significant endoleak, and the aortic sac has shown regression. The patient remains asymptomatic, with no abdominal pain, with normal renal function, and without ischemic limb complications. We hypothesize that significant graft oversizing (20%-30%) with asymmetric engineering of the diameter-reducing ties may have contributed to the infolding. Because of the patient's asymptomatic nature and general medical comorbidities, further intervention was deemed inappropriate as the aneurysmal sac is regressing despite the infolding.
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spelling doaj.art-acd0c66867ed40a298942ae5143373242022-12-21T17:33:24ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872017-09-013315916210.1016/j.jvscit.2017.04.008Infolding of fenestrated endovascular stent graftJason G.E. Zelt, MSc0Prasad Jetty, MD1Adnan Hadziomerovic, MD2Sudhir Nagpal, MD3Molecular Function and Imaging Program, National Cardiac PET Centre, University of Ottawa Heart Institute, Ottawa, Ontario, CanadaDivision of Vascular Surgery, University of Ottawa, Ottawa, Ontario, CanadaDepartment of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, Ontario, CanadaDivision of Vascular Surgery, University of Ottawa, Ottawa, Ontario, CanadaWe report a case of infolding of a fenestrated stent graft involving the visceral vessel segment after a juxtarenal abdominal aorta aneurysm repair. The patient remains free of any significant endoleak, and the aortic sac has shown regression. The patient remains asymptomatic, with no abdominal pain, with normal renal function, and without ischemic limb complications. We hypothesize that significant graft oversizing (20%-30%) with asymmetric engineering of the diameter-reducing ties may have contributed to the infolding. Because of the patient's asymptomatic nature and general medical comorbidities, further intervention was deemed inappropriate as the aneurysmal sac is regressing despite the infolding.http://www.sciencedirect.com/science/article/pii/S2468428717300382
spellingShingle Jason G.E. Zelt, MSc
Prasad Jetty, MD
Adnan Hadziomerovic, MD
Sudhir Nagpal, MD
Infolding of fenestrated endovascular stent graft
Journal of Vascular Surgery Cases and Innovative Techniques
title Infolding of fenestrated endovascular stent graft
title_full Infolding of fenestrated endovascular stent graft
title_fullStr Infolding of fenestrated endovascular stent graft
title_full_unstemmed Infolding of fenestrated endovascular stent graft
title_short Infolding of fenestrated endovascular stent graft
title_sort infolding of fenestrated endovascular stent graft
url http://www.sciencedirect.com/science/article/pii/S2468428717300382
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AT adnanhadziomerovicmd infoldingoffenestratedendovascularstentgraft
AT sudhirnagpalmd infoldingoffenestratedendovascularstentgraft