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Early abdominal aortic rupture after Nellix endovascular aneurysm sealing


- Katedra i Klinika Chirurgii Ogólnej, Naczyń, Angiologii i Flebologii Śląskiego Uniwersytetu Medycznego w Katowicach, ul. Ziołowa 45/47, 40-635 Katowice, Poland
- Oddział Chirurgii Ogólnej i Naczyniowej Uniwersyteckiego Szpitala Klinicznego w Opolu
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Abstract
Abstract This case concerns a 73 year-old woman, that suffered form Symptomatic Aortic Abdominal Aneurysm. Due to the complex anatomy of the aneurysm she was treated with Nellix Endovascular Aneurysm Seal Device. The implantation was successful, and the completion angiography showed no endoleak. At day 9 after the procedure, the patient presented severe abdominal pain with peritoneal symptoms, significant anemia and hypovolemic shock. The patient was subject to emergency laparotomy. The aortic rupture was identified. The Nellix device was removed and replaced with bifurcated silver-covered PTFE graft.
Abstract
Abstract This case concerns a 73 year-old woman, that suffered form Symptomatic Aortic Abdominal Aneurysm. Due to the complex anatomy of the aneurysm she was treated with Nellix Endovascular Aneurysm Seal Device. The implantation was successful, and the completion angiography showed no endoleak. At day 9 after the procedure, the patient presented severe abdominal pain with peritoneal symptoms, significant anemia and hypovolemic shock. The patient was subject to emergency laparotomy. The aortic rupture was identified. The Nellix device was removed and replaced with bifurcated silver-covered PTFE graft.
Keywords
Nellix; EVAS; EVAR; Aortic Rupture; Endovascular Procedures


Title
Early abdominal aortic rupture after Nellix endovascular aneurysm sealing
Journal
Issue
Article type
Case report
Pages
51-53
Published online
2018-07-04
Page views
385
Article views/downloads
641
DOI
10.5603/aa.58341
Bibliographic record
Acta Angiologica 2018;24(2):51-53.
Keywords
Nellix
EVAS
EVAR
Aortic Rupture
Endovascular Procedures
Authors
Jakub Palacz
Wacław Kuczmik
Andrzej Kucharski
Zbigniew Kowalik


- Krievins DK, Holden A, Savlovskis J, et al. EVAR using the nellix sac-anchoring endoprosthesis: treatment of favourable and adverse anatomy. Journal of Vascular Surgery. 2011; 54(1): 282.
- Thompson MM, Heyligers JM, Hayes PD, et al. Endovascular aneurysm sealing: early and midterm results from the EVAS FORWARD Global Registry. Journal of Endovascular Therapy. 2016; 23(5): 685–692.