Key result
Renal artery stenting completely resolved flash pulmonary edema and renal failure caused by delayed endograft migration 15 months after endovascular aortic repair.
Case Report (n=1)
Delayed endograft migration after EVAR can cause renal artery coverage leading to flash pulmonary edema and renal failure, which can be successfully treated with renal artery stenting.
May alert to renal stenting for post-EVAR migration complications; leaves open generalizability from this single case.
After endovascular aortic repair (EVAR), the deterioration in long-term renal function is probably multifactorial. Preoperative renal failure is an independent risk factor. Postoperative renal dysfunction can be associated with inadvertent renal artery occlusion, renal artery complications as stenosis, plaque dislodgement, or dissection. Ischemic nephropathy can accelerate hypertension and circulatory congestion. We report a case of coverage of the renal arteries symptomatic with flash pulmonary edema and renal failure 15 months after EVAR, suggesting a delayed endograft migration. The patient had complete resolution of symptoms and renal function after renal artery stenting with placement between endograft and aneurysm to the left renal artery.
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Carron et al. (2015) conducted a case report in Flash pulmonary edema and renal failure post endovascular abdominal aneurysm repair (n=1). Renal artery stenting was evaluated on Resolution of symptoms and renal function. Renal artery stenting completely resolved flash pulmonary edema and renal failure caused by delayed endograft migration 15 months after endovascular aortic repair.
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