Severe infolding of fenestrated-branched endovascular stent graft

Aleem K. Mirza; Giuliano A. Sandri; Emanuel R. Tenorio; Jussi M. Kärkkäinen; Gustavo S. Oderich

doi:10.1016/j.jvscit.2018.05.001

Severe infolding of fenestrated-branched endovascular stent graft

Aleem K. Mirza, Giuliano A. Sandri, Emanuel R. Tenorio, Jussi M. Kärkkäinen, Gustavo S. Oderich

Vascular and Endovascular Surgery

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Infolding of a fenestrated-branched stent graft is an infrequent complication due to excessive oversizing. We report the case of an 89-year-old man who underwent a four-vessel fenestrated-branched endovascular aortic repair for a pararenal aortic aneurysm. Computed tomography angiography revealed severe infolding across the mesenteric-renal vessels. The patient was treated by angioplasty and placement of Palmaz stent. Cone-beam computed tomography confirmed patent visceral vessels with resolution of the infolding. This case illustrates an uncommon complication that can be prevented by modifications in the stent design and by immediate assessment using intraoperative cone-beam computed tomography.

Original language	English (US)
Pages (from-to)	240-243
Number of pages	4
Journal	Journal of Vascular Surgery Cases and Innovative Techniques
Volume	4
Issue number	3
DOIs	https://doi.org/10.1016/j.jvscit.2018.05.001
State	Published - Sep 2018

Keywords

Cone-beam computed tomography (CBCT)
Fenestrated-branched endovascular stent graft
Infolding

ASJC Scopus subject areas

Surgery
Cardiology and Cardiovascular Medicine

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10.1016/j.jvscit.2018.05.001

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title = "Severe infolding of fenestrated-branched endovascular stent graft",

abstract = "Infolding of a fenestrated-branched stent graft is an infrequent complication due to excessive oversizing. We report the case of an 89-year-old man who underwent a four-vessel fenestrated-branched endovascular aortic repair for a pararenal aortic aneurysm. Computed tomography angiography revealed severe infolding across the mesenteric-renal vessels. The patient was treated by angioplasty and placement of Palmaz stent. Cone-beam computed tomography confirmed patent visceral vessels with resolution of the infolding. This case illustrates an uncommon complication that can be prevented by modifications in the stent design and by immediate assessment using intraoperative cone-beam computed tomography.",

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AU - Sandri, Giuliano A.

AU - Tenorio, Emanuel R.

AU - Kärkkäinen, Jussi M.

AU - Oderich, Gustavo S.

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