Occlusion of endovascular stent-graft for abdominal aortic aneurysm three years after surgery

Ryota Fukunaga, Hiroyuki Ito, Yoshihiko Maehara

Research output: Contribution to journalArticle

Abstract

A 79-year old man was admitted to our department with complaints of bilateral foot coldness, numbness and intermittent claudication. He underwent endovascular repair for abdominal aortic aneurysm three years before. An abdominal X-ray showed highly kinked endovascular stent-graft which indicated graft migration, and aortography showed occlusion of stent-graft and infrarenal aorta. An axillo-bifemoral bypass was performed and blood flow to the lower extremities was restored. Endovascular repair for AAA has been established worldwide as a less invasive treatment. Endovascular repair can be performed with low mortality and morbidity in the short period, however, in the long-term follow-up series, several late complications, such as late endoleaks, graft occlusion, AAA expansion, and even AAA rupture were encountered. Indication for endovascular repair for AAA still remains controversial because of these late complications, therefore, great attention must be paid for patient selection for endovascular repair.

Original languageEnglish
Pages (from-to)161-166
Number of pages6
JournalFukuoka igaku zasshi = Hukuoka acta medica
Volume93
Issue number8
Publication statusPublished - Aug 2002

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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