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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Korean Society for Vascular Surgery
2023
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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. |
format | Online Article Text |
id | pubmed-10694563 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | The Korean Society for Vascular Surgery |
record_format | MEDLINE/PubMed |
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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