Key result
Percutaneous transluminal angioplasty with an additional stent graft and internal iliac artery embolization successfully corrected severe graft limb kinking 10 years after EVAR.
Case Report (n=1)
No
Percutaneous transluminal angioplasty can be used to successfully realign a severely kinked stent graft limb late after EVAR.
Late iliac branch kinking can occur a decade after EVAR without surveillance; leaves open optimal lifelong monitoring protocols.
Endovascular aneurysm repair (EVAR) has been recommended as an alternative to open aneurysm repair. The risk of severe perioperative complications is lower than that in open surgical repair; however, late complications are more likely. After EVAR, regular yearly surveillance by duplex ultrasonography or computed tomography is recommended. We report the case of a 67-year-old man with a severely kinked left iliac branch of the stent graft 10 years after EVAR. He had not undergone regular follow-up during the last 4 years. We realigned the endograft kink by percutaneous transluminal angioplasty.
No takes yet. Share an insight, caveat, or question.
Shin et al. (2016) conducted a case report in Severe graft limb kinking after endovascular abdominal aortic aneurysm repair (n=1). Percutaneous transluminal angioplasty with additional stent graft and internal iliac artery embolization was evaluated on Correction of stent graft kinking and absence of endoleak. Percutaneous transluminal angioplasty with an additional stent graft and internal iliac artery embolization successfully corrected severe graft limb kinking 10 years after EVAR.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: