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...
Main Authors: | , , , |
---|---|
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 |
_version_ | 1819261986495528960 |
---|---|
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. |
first_indexed | 2024-12-23T19:50:31Z |
format | Article |
id | doaj.art-acd0c66867ed40a298942ae514337324 |
institution | Directory Open Access Journal |
issn | 2468-4287 |
language | English |
last_indexed | 2024-12-23T19:50:31Z |
publishDate | 2017-09-01 |
publisher | Elsevier |
record_format | Article |
series | Journal of Vascular Surgery Cases and Innovative Techniques |
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 |
work_keys_str_mv | AT jasongezeltmsc infoldingoffenestratedendovascularstentgraft AT prasadjettymd infoldingoffenestratedendovascularstentgraft AT adnanhadziomerovicmd infoldingoffenestratedendovascularstentgraft AT sudhirnagpalmd infoldingoffenestratedendovascularstentgraft |