Journal of Vascular Surgery Cases and Innovative Techniques (Sep 2016)

Endograft limb trimming and resheathing can be an alternative for emergent aortic repair without adequate stent graft availability

  • Francisco Álvarez Marcos, MD, MSc,
  • Delfín Couto Mallón, MD,
  • Pilar Vilariño López-Barranco, MD,
  • Jorge Vilariño Rico, MD, PhD,
  • Francisco José Franco Meijide, MD,
  • Santiago Caeiro Quinteiro, MD

DOI
https://doi.org/10.1016/j.jvscit.2016.04.003
Journal volume & issue
Vol. 2, no. 3
pp. 88 – 91

Abstract

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Endograft limb trimming can be an easy customization to perform in some emergent setups and when alternative adequate covered stents are lacking. A man aged 74 years presented with aortoenteric fistula and hemodynamic instability years after an aortobifemoral bypass, and a 56-year-old woman was admitted with acute ischemia due to an aortic ulcer-like lesion. In both cases, tabletop deployment and removal of two stents from an Endurant iliac limb (Medtronic, Fridley, Minn), followed by resheathing and deployment, allowed successful repair as a bridging therapy for open surgery. Both patients are alive and without walking impairment 8 and 6 months later, respectively.