Endovascular Stent Graft Treatment of an Iatrogenic Symptomatic Extracranial Carotid-Jugular Arteriovenous Fistula
Complex anatomical restrictions can lead to further interventions after the emergence of a postoperative aneurysm enlargement in thoracic endovascular aortic repair (TEVAR) for a thoracoabdominal aortic aneurysm (TAAA). A 75-year-old male underwent a TEVAR for a Crawford extent I TAAA. The main devi...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Medrang
2022-12-01
|
| Series: | Vascular Specialist International |
| Online Access: | https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.220056 |
| _version_ | 1797960216155783168 |
|---|---|
| author | Tiago F. Ribeiro Rita S. Ferreira Alberto Henrique Carlos Amaral |
| author_facet | Tiago F. Ribeiro Rita S. Ferreira Alberto Henrique Carlos Amaral |
| author_sort | Tiago F. Ribeiro |
| collection | DOAJ |
| description | Complex anatomical restrictions can lead to further interventions after the emergence of a postoperative aneurysm enlargement in thoracic endovascular aortic repair (TEVAR) for a thoracoabdominal aortic aneurysm (TAAA). A 75-year-old male underwent a TEVAR for a Crawford extent I TAAA. The main device and the distal extension were placed using a fenestrated technique, outside of the instructions for use. The aneurysm expanded because of an endoleak and stent graft migration; and was surgically repaired by fully salvaging the previous endografts 38 months after the first TEVAR. However, the distal extension, which was the proximal anastomosis site with a prosthetic graft, became completely dislocated from the main device eight months after the open surgical conversion, resulting again in the enlargement of the aneurysm. An additional TEVAR was successfully performed to correct the dislocated stent graft. An appropriate treatment strategy is crucial to prevent multiple reinterventions for TAAA with complex anatomical restrictions. |
| first_indexed | 2024-04-11T00:43:52Z |
| format | Article |
| id | doaj.art-b78756de806c4dde81a5813b0b2c3177 |
| institution | Directory Open Access Journal |
| issn | 2288-7970 2288-7989 |
| language | English |
| last_indexed | 2024-04-11T00:43:52Z |
| publishDate | 2022-12-01 |
| publisher | Medrang |
| record_format | Article |
| series | Vascular Specialist International |
| spelling | doaj.art-b78756de806c4dde81a5813b0b2c31772023-01-06T01:30:12ZengMedrangVascular Specialist International2288-79702288-79892022-12-013810.5758/vsi.220056vsi.220056Endovascular Stent Graft Treatment of an Iatrogenic Symptomatic Extracranial Carotid-Jugular Arteriovenous FistulaTiago F. Ribeiro0Rita S. Ferreira1Alberto Henrique2Carlos Amaral3Department of Angiology and Vascular Surgery, Hospital de Santa Marta, Hospital Center of Centre Lisbon, Lisbon, PortugalDepartment of Angiology and Vascular Surgery, Hospital de Santa Marta, Hospital Center of Centre Lisbon, Lisbon, PortugalDepartment of Angiology and Vascular Surgery, Hospital de Santa Marta, Hospital Center of Centre Lisbon, Lisbon, PortugalDepartment of Angiology and Vascular Surgery, Hospital de Santa Marta, Hospital Center of Centre Lisbon, Lisbon, PortugalComplex anatomical restrictions can lead to further interventions after the emergence of a postoperative aneurysm enlargement in thoracic endovascular aortic repair (TEVAR) for a thoracoabdominal aortic aneurysm (TAAA). A 75-year-old male underwent a TEVAR for a Crawford extent I TAAA. The main device and the distal extension were placed using a fenestrated technique, outside of the instructions for use. The aneurysm expanded because of an endoleak and stent graft migration; and was surgically repaired by fully salvaging the previous endografts 38 months after the first TEVAR. However, the distal extension, which was the proximal anastomosis site with a prosthetic graft, became completely dislocated from the main device eight months after the open surgical conversion, resulting again in the enlargement of the aneurysm. An additional TEVAR was successfully performed to correct the dislocated stent graft. An appropriate treatment strategy is crucial to prevent multiple reinterventions for TAAA with complex anatomical restrictions.https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.220056 |
| spellingShingle | Tiago F. Ribeiro Rita S. Ferreira Alberto Henrique Carlos Amaral Endovascular Stent Graft Treatment of an Iatrogenic Symptomatic Extracranial Carotid-Jugular Arteriovenous Fistula Vascular Specialist International |
| title | Endovascular Stent Graft Treatment of an Iatrogenic Symptomatic Extracranial Carotid-Jugular Arteriovenous Fistula |
| title_full | Endovascular Stent Graft Treatment of an Iatrogenic Symptomatic Extracranial Carotid-Jugular Arteriovenous Fistula |
| title_fullStr | Endovascular Stent Graft Treatment of an Iatrogenic Symptomatic Extracranial Carotid-Jugular Arteriovenous Fistula |
| title_full_unstemmed | Endovascular Stent Graft Treatment of an Iatrogenic Symptomatic Extracranial Carotid-Jugular Arteriovenous Fistula |
| title_short | Endovascular Stent Graft Treatment of an Iatrogenic Symptomatic Extracranial Carotid-Jugular Arteriovenous Fistula |
| title_sort | endovascular stent graft treatment of an iatrogenic symptomatic extracranial carotid jugular arteriovenous fistula |
| url | https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.220056 |
| work_keys_str_mv | AT tiagofribeiro endovascularstentgrafttreatmentofaniatrogenicsymptomaticextracranialcarotidjugulararteriovenousfistula AT ritasferreira endovascularstentgrafttreatmentofaniatrogenicsymptomaticextracranialcarotidjugulararteriovenousfistula AT albertohenrique endovascularstentgrafttreatmentofaniatrogenicsymptomaticextracranialcarotidjugulararteriovenousfistula AT carlosamaral endovascularstentgrafttreatmentofaniatrogenicsymptomaticextracranialcarotidjugulararteriovenousfistula |