Journal «Angiology and Vascular Surgery» • 

2018 • VOLUME 24 • №4

Stenting of an endograft limb in its acute occlusion after endovascular intervention for an abdominal aortic aneurysm

Krasheninin D.V., Yartsev S.E., Gavrilko A.D., Polyakov A.M.

Department of Roentgenosurgical Methods of Diagnosis and Treatment, Regional Clinical Hospital №1, Tyumen, Russia

Endovascular abdominal aortic aneurysm repair (EVAR) has recently become an operation of choice in the presence of clinical, anatomic and organizational conditions for implantation of a stent graft. However, like any other operation, EVAR bears the risk of various complications. Due to low frequency of EVAR, the problem concerning appropriate policy of managing patients presenting with such types of complications may be difficult. Thrombosis of a stent graft’s components is encountered more often compared with "open" prosthetic repair of the abdominal aorta. This complication more frequently requires interventions in the scope of femoro-femoral bypass grafting. Attempts of thrombextraction may lead to disconnection of a stent graft’s modules and to embolic complications.

Presented herein is a clinical case report wherein proceeding from objective examination and laboratory instrumental studies, namely angiography, we chose a policy of endovascular intervention (stenting) for thrombosis of a stent graft’s limb. At 2 years of follow up the patient is currently in a satisfactory condition, as confirmed by the findings of MSCT angiography two years after the intervention.

KEY WORDS: abdominal aortic aneurysm, self-expanding stent, balloon angioplasty, endovascular intervention, thrombextraction, stent graft, limb occlusion.

P. 164-168

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