1.A Case of Early Limb Stenosis after Endovascular Abdominal Aneurysm Repair with the Endurant Stent Graft System
Tsunehisa Yamamoto ; Katsuhiko Oka ; Osamu Sakai ; Hidetake Kawajiri ; Sachiko Yamazaki ; Taiji Watanabe ; Keiichi Kanda ; Hitoshi Yaku
Japanese Journal of Cardiovascular Surgery 2015;44(5):283-287
An 81-year-old man who had a saccular abdominal aortic aneurysm (AAA) with a narrow terminal aorta underwent endovascular aortic aneurysm repair (EVAR) with the Medtronic Endurant® stent graft system. After 4 days, computed tomography (CT) showed stenosis of the stent graft left limb, which was pressed flat against the right limb at the narrow terminal aorta. We performed re-intervention to dilate the narrow terminal aorta and bilateral limbs with kissing stenting using Express Vascular LD® (Boston Scientific). After operation his ankle brachial pressure index rose from 0.88 to 0.99 and there was no evidence of stenotic limbs at CT image. We need to be careful about the stenotic limb after EVAR with Medtronic Endurant stentgraft system for AAA with a narrow terminal aorta.
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