Vol 25, No 1-2 (2023)
Case report
Published online: 2024-09-13
Migration of a branch stent-graft during implantation in a patient treated for thoracoabdominal aortic aneurysm
DOI: 10.5603/chp.100321
Chirurgia Polska 2023;25(1-2):61-65.
Abstract
Branched endovascular aneurysm repair (bEVAR) are routinely used in clinical practice in patients with
complex aortic anatomy. However, they can lead to a number of complications, notable among which
are the risk of stent-graft migration and rotation. We present the case of a patient treated for a thoracoabdominal
aortic aneurysm in whom, as a result of stent-graft rotation, the dedicating branch of the left
renal artery was located in the exit of the superior mesenteric artery.
Keywords: migrationrotationbranch stent-graftthoraco-abdominal aneurysm
References
- Timaran DE, Knowles M, Soto-Gonzalez M, et al. Gender and perioperative outcomes after fenestrated endovascular repair using custom-made and off-the-shelf devices. J Vasc Surg. 2016; 64(2): 267–272.
- Graves HL, Jackson BM. The Current State of Fenestrated and Branched Devices for Abdominal Aortic Aneurysm Repair. Semin Intervent Radiol. 2015; 32(3): 304–310.
- Zhou XC, Yang F, Gong XY, et al. New nitinol endovascular stent-graft system for abdominal aortic aneurysm with finite element analysis and experimental verification. Rare Metals. 2019; 38(6): 495–502.
- Crawford SA, Sanford RM, Doyle MG, et al. Prediction of advanced endovascular stent graft rotation and its associated morbidity and mortality. J Vasc Surg. 2018; 68(2): 348–355.
- Conner MS, Sternbergh WC, Carter G, et al. Secondary procedures after endovascular aortic aneurysm repair. J Vasc Surg. 2002; 36(5): 992–996.
- Daye D, Walker TG. Complications of endovascular aneurysm repair of the thoracic and abdominal aorta: evaluation and management. Cardiovasc Diagn Ther. 2018; 8(Suppl 1): S138–S156.
- Lee K, Hossain S, Sabalbal M, et al. Explaining endograft shortening during endovascular repair of abdominal aortic aneurysms in severe aortoiliac tortuosity. J Vasc Surg. 2017; 65(5): 1297–1304.
- Higashiura W, Kichikawa K, Sakaguchi S, et al. Accuracy of centerline of flow measurement for sizing of the Zenith AAA endovascular graft and predictive factor for risk of inadequate sizing. Cardiovasc Intervent Radiol. 2009; 32(3): 441–448.
- Lee K, Hossain S, Sabalbal M, et al. Endograft conformability and aortoiliac tortuosity in endovascular abdominal aortic aneurysm repair. J Endovasc Ther. 2014; 21(5): 728–734.
- Pacewski B, Słowiński P, Madycki G. The phenomenon of stentgraft “shortening” during endovascular stentgraft implantation into an abdominal aortic aneurysm in cases involving significant tortuosity of the aorta and iliac arteries. Acta Angiologica. 2022; 28(2): 39–43.
- Sanford R, Crawford S, Doyle M, et al. PC226 Predicting Stent Graft Rotation in Patient-Specific Abdominal Aortic Aneurysm Repair Using Computational Models. Journal of Vascular Surgery. 2017; 65(6).
- Concannon J, Moerman KM, Hynes N, et al. Influence of shape-memory stent grafts on local aortic compliance. Biomech Model Mechanobiol. 2021; 20(6): 2373–2392.
- Zhou XC, Yang F, Gong XY, et al. New nitinol endovascular stent-graft system for abdominal aortic aneurysm with finite element analysis and experimental verification. Rare Metals. 2019; 38(6): 495–502.