Article ; Online: An Alternative Approach for Treating a Type Ia Endoleak after Conventional EVAR Using the Nellix Endovascular Aneurysm Sealing.
2018 Volume 49, Page(s) 316.e5–316.e10
Abstract: Background: To report the use of a Nellix endovascular aneurysm sealing (EVAS) device, to successfully treat a type Ia endoleak (EL) after an endovascular aortic repair (EVAR).: Case report: A 70-year-old man was diagnosed with a 90-mm aortic ... ...
| Abstract | Background: To report the use of a Nellix endovascular aneurysm sealing (EVAS) device, to successfully treat a type Ia endoleak (EL) after an endovascular aortic repair (EVAR). Case report: A 70-year-old man was diagnosed with a 90-mm aortic aneurysm, suspicious for being inflammatory. It was initially treated successfully, with a Medtronic Endurant (Medtronic, Minneapolis, MN, USA). Five years after the index endovascular repair, an asymptomatic type Ia EL was detected on duplex ultrasound and computed tomographic angiogram. Other endovascular solutions in the form of proximal cuff, chimney was considered difficult to execute due to challenges in planning, manipulation, and renal cannulation caused by the short proximal sealing zone above the existing stent graft and the constraints of the previous endograft. Thus, a relining of the previous endoprothesis was performed using the Nellix system (Endologix, Inc., Irvine, CA, USA). One-year follow-up imaging demonstrated successful resolution of the EL and persistent sealing of the Nellix device. Conclusions: Nellix EVAS system can be an alternative and safe option for relining a stent graft with a type Ia EL. Nellix platform can be added to the clinician's armamentarium for treating type Ia EL after conventional EVAR of infrarenal abdominal aortic aneurysm (AAA). |
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| MeSH term(s) | Aged ; Aortic Aneurysm, Abdominal/diagnostic imaging ; Aortic Aneurysm, Abdominal/surgery ; Aortography/methods ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation/adverse effects ; Blood Vessel Prosthesis Implantation/instrumentation ; Computed Tomography Angiography ; Endoleak/diagnostic imaging ; Endoleak/etiology ; Endoleak/surgery ; Endovascular Procedures/adverse effects ; Endovascular Procedures/instrumentation ; Humans ; Male ; Prosthesis Design ; Stents ; Treatment Outcome ; Ultrasonography, Doppler, Duplex |
| Language | English |
| Publishing date | 2018-03-01 |
| Publishing country | Netherlands |
| Document type | Case Reports ; Journal Article |
| ZDB-ID | 1027366-9 |
| ISSN | 1615-5947 ; 0890-5096 |
| ISSN (online) | 1615-5947 |
| ISSN | 0890-5096 |
| DOI | 10.1016/j.avsg.2017.12.020 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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