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Endovascular Repair of a Failed Nellix Endograft Proximal Sealing Zone Using the Altura Stent-Graft: A Case Report and Literature Review

Endovascular aortic aneurysm sealing (EVAS) with the Nellix endograft was initially considered a groundbreaking and acceptable alternative to conventional endovascular aortic aneurysm repair, with encouraging initial results. However, long-term follow-up has revealed a high incidence of endograft-re...

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Autores principales: Chatzelas, Dimitrios A., Pitoulias, Apostolos G., Tsamourlidis, Georgios V., Zampaka, Theodosia N., Potouridis, Anastasios G., Tachtsi, Maria D., Pitoulias, Georgios A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society for Vascular Surgery 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10694563/
https://www.ncbi.nlm.nih.gov/pubmed/38044693
http://dx.doi.org/10.5758/vsi.230076
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author Chatzelas, Dimitrios A.
Pitoulias, Apostolos G.
Tsamourlidis, Georgios V.
Zampaka, Theodosia N.
Potouridis, Anastasios G.
Tachtsi, Maria D.
Pitoulias, Georgios A.
author_facet Chatzelas, Dimitrios A.
Pitoulias, Apostolos G.
Tsamourlidis, Georgios V.
Zampaka, Theodosia N.
Potouridis, Anastasios G.
Tachtsi, Maria D.
Pitoulias, Georgios A.
author_sort Chatzelas, Dimitrios A.
collection PubMed
description Endovascular aortic aneurysm sealing (EVAS) with the Nellix endograft was initially considered a groundbreaking and acceptable alternative to conventional endovascular aortic aneurysm repair, with encouraging initial results. However, long-term follow-up has revealed a high incidence of endograft-related complications, such as caudal migration and type Ia endoleaks, indicating the need for reintervention. Managing failed EVAS remains challenging and is an ongoing topic of discussion, especially for high-risk patients. We describe a 70-year-old female who initially underwent EVAS with a Nellix endograft and presented after 5 years of follow-up with caudal endograft migration and a type Ia endoleak. The patient was treated with endovascular implantation of an Altura stent-graft, a relatively new low-profile device with a similar double stent configuration. Device migration and endoleaks were undetectable at 12 months of follow-up, suggesting that the Altura might offer a safe and efficient approach in cases of Nellix proximal failure.
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spelling pubmed-106945632023-12-05 Endovascular Repair of a Failed Nellix Endograft Proximal Sealing Zone Using the Altura Stent-Graft: A Case Report and Literature Review Chatzelas, Dimitrios A. Pitoulias, Apostolos G. Tsamourlidis, Georgios V. Zampaka, Theodosia N. Potouridis, Anastasios G. Tachtsi, Maria D. Pitoulias, Georgios A. Vasc Specialist Int Case Report Endovascular aortic aneurysm sealing (EVAS) with the Nellix endograft was initially considered a groundbreaking and acceptable alternative to conventional endovascular aortic aneurysm repair, with encouraging initial results. However, long-term follow-up has revealed a high incidence of endograft-related complications, such as caudal migration and type Ia endoleaks, indicating the need for reintervention. Managing failed EVAS remains challenging and is an ongoing topic of discussion, especially for high-risk patients. We describe a 70-year-old female who initially underwent EVAS with a Nellix endograft and presented after 5 years of follow-up with caudal endograft migration and a type Ia endoleak. The patient was treated with endovascular implantation of an Altura stent-graft, a relatively new low-profile device with a similar double stent configuration. Device migration and endoleaks were undetectable at 12 months of follow-up, suggesting that the Altura might offer a safe and efficient approach in cases of Nellix proximal failure. The Korean Society for Vascular Surgery 2023-12-04 /pmc/articles/PMC10694563/ /pubmed/38044693 http://dx.doi.org/10.5758/vsi.230076 Text en Copyright © 2023, The Korean Society for Vascular Surgery https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Chatzelas, Dimitrios A.
Pitoulias, Apostolos G.
Tsamourlidis, Georgios V.
Zampaka, Theodosia N.
Potouridis, Anastasios G.
Tachtsi, Maria D.
Pitoulias, Georgios A.
Endovascular Repair of a Failed Nellix Endograft Proximal Sealing Zone Using the Altura Stent-Graft: A Case Report and Literature Review
title Endovascular Repair of a Failed Nellix Endograft Proximal Sealing Zone Using the Altura Stent-Graft: A Case Report and Literature Review
title_full Endovascular Repair of a Failed Nellix Endograft Proximal Sealing Zone Using the Altura Stent-Graft: A Case Report and Literature Review
title_fullStr Endovascular Repair of a Failed Nellix Endograft Proximal Sealing Zone Using the Altura Stent-Graft: A Case Report and Literature Review
title_full_unstemmed Endovascular Repair of a Failed Nellix Endograft Proximal Sealing Zone Using the Altura Stent-Graft: A Case Report and Literature Review
title_short Endovascular Repair of a Failed Nellix Endograft Proximal Sealing Zone Using the Altura Stent-Graft: A Case Report and Literature Review
title_sort endovascular repair of a failed nellix endograft proximal sealing zone using the altura stent-graft: a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10694563/
https://www.ncbi.nlm.nih.gov/pubmed/38044693
http://dx.doi.org/10.5758/vsi.230076
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