An unusual cause of failure in Zenith Alpha Abdominal endograft

BACKGROUND: Graft disruption is an unusual complication of the endovascular abdominal aortic aneurysm repair (EVAR). CASE PRESENTATION: A 71-year-old man underwent standard EVAR with Zenith Alpha Abdominal endograft. Follow-up examinations revealed an initial significant sac shrinkage. At 24 months,...

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Autores principales: Berchiolli, Raffaella N., Marconi, Michele, Bargellini, Irene, Bertagna, Giulia, Adami, Daniele, Mocellin, Davide M., Cioni, Roberto, Ferrari, Mauro, Troisi, Nicola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8889633/
https://www.ncbi.nlm.nih.gov/pubmed/35236413
http://dx.doi.org/10.1186/s40001-022-00656-5
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author Berchiolli, Raffaella N.
Marconi, Michele
Bargellini, Irene
Bertagna, Giulia
Adami, Daniele
Mocellin, Davide M.
Cioni, Roberto
Ferrari, Mauro
Troisi, Nicola
author_facet Berchiolli, Raffaella N.
Marconi, Michele
Bargellini, Irene
Bertagna, Giulia
Adami, Daniele
Mocellin, Davide M.
Cioni, Roberto
Ferrari, Mauro
Troisi, Nicola
author_sort Berchiolli, Raffaella N.
collection PubMed
description BACKGROUND: Graft disruption is an unusual complication of the endovascular abdominal aortic aneurysm repair (EVAR). CASE PRESENTATION: A 71-year-old man underwent standard EVAR with Zenith Alpha Abdominal endograft. Follow-up examinations revealed an initial significant sac shrinkage. At 24 months, duplex ultrasound (DUS) scan and computed tomography showed increase of the sac diameter associated with complete disconnection of the suprarenal stent-graft from the main body without evidence of endoleak. A standard relining with a thoracic endograft was performed between the suprarenal stent and the main body of the previous graft. At 6 months DUS revealed sac shrinkage. CONCLUSIONS: This report demonstrates an uncommon cause of endograft failure with suprarenal stent disconnection from main body and highlights the need for continuous follow-up in patients undergoing EVAR.
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spelling pubmed-88896332022-03-09 An unusual cause of failure in Zenith Alpha Abdominal endograft Berchiolli, Raffaella N. Marconi, Michele Bargellini, Irene Bertagna, Giulia Adami, Daniele Mocellin, Davide M. Cioni, Roberto Ferrari, Mauro Troisi, Nicola Eur J Med Res Case Report BACKGROUND: Graft disruption is an unusual complication of the endovascular abdominal aortic aneurysm repair (EVAR). CASE PRESENTATION: A 71-year-old man underwent standard EVAR with Zenith Alpha Abdominal endograft. Follow-up examinations revealed an initial significant sac shrinkage. At 24 months, duplex ultrasound (DUS) scan and computed tomography showed increase of the sac diameter associated with complete disconnection of the suprarenal stent-graft from the main body without evidence of endoleak. A standard relining with a thoracic endograft was performed between the suprarenal stent and the main body of the previous graft. At 6 months DUS revealed sac shrinkage. CONCLUSIONS: This report demonstrates an uncommon cause of endograft failure with suprarenal stent disconnection from main body and highlights the need for continuous follow-up in patients undergoing EVAR. BioMed Central 2022-03-02 /pmc/articles/PMC8889633/ /pubmed/35236413 http://dx.doi.org/10.1186/s40001-022-00656-5 Text en © The Author(s) 2022, corrected publication 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Berchiolli, Raffaella N.
Marconi, Michele
Bargellini, Irene
Bertagna, Giulia
Adami, Daniele
Mocellin, Davide M.
Cioni, Roberto
Ferrari, Mauro
Troisi, Nicola
An unusual cause of failure in Zenith Alpha Abdominal endograft
title An unusual cause of failure in Zenith Alpha Abdominal endograft
title_full An unusual cause of failure in Zenith Alpha Abdominal endograft
title_fullStr An unusual cause of failure in Zenith Alpha Abdominal endograft
title_full_unstemmed An unusual cause of failure in Zenith Alpha Abdominal endograft
title_short An unusual cause of failure in Zenith Alpha Abdominal endograft
title_sort unusual cause of failure in zenith alpha abdominal endograft
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8889633/
https://www.ncbi.nlm.nih.gov/pubmed/35236413
http://dx.doi.org/10.1186/s40001-022-00656-5
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