Endograft Collapse after Standard Endovascular Aneurysm Repair Implantation: A Report of Two Cases

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Published: Aug 20, 2024
DOI: https://doi.org/10.62713/aic.3373
Keywords:
abdominal aortic aneurysm, acute limb ischemia, endograft collapse, endograft infolding, endovascular repair

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Martina Palughi
Vascular and Endovascular Surgery Unit, Sant’Andrea Hospital of Rome, 00189 Rome, Italy; Department of Molecular and Clinical Medicine, “Sapienza” University of Rome, 00189 Rome, Italy
Nazzareno Stella
Vascular and Endovascular Surgery Unit, Sant’Andrea Hospital of Rome, 00189 Rome, Italy; Department of Molecular and Clinical Medicine, “Sapienza” University of Rome, 00189 Rome, Italy
Giulia Colonna
Vascular and Endovascular Surgery Unit, Sant’Andrea Hospital of Rome, 00189 Rome, Italy; Department of Molecular and Clinical Medicine, “Sapienza” University of Rome, 00189 Rome, Italy
Annalisa Schioppa
Department of Vascular Surgery, San Pietro Hospital–Fatebenefratelli, 00189 Rome, Italy
Luigi Rizzo
Vascular and Endovascular Surgery Unit, Sant’Andrea Hospital of Rome, 00189 Rome, Italy; Department of Molecular and Clinical Medicine, “Sapienza” University of Rome, 00189 Rome, Italy
Maurizio Taurino
Vascular and Endovascular Surgery Unit, Sant’Andrea Hospital of Rome, 00189 Rome, Italy; Department of Molecular and Clinical Medicine, “Sapienza” University of Rome, 00189 Rome, Italy
Pasqualino Sirignano
Vascular and Endovascular Surgery Unit, Sant’Andrea Hospital of Rome, 00189 Rome, Italy; Department of General and Specialistic Surgery, “Sapienza” University of Rome, 00185 Rome, Italy

Abstract

Endovascular aneurysm repair (EVAR) has emerged as the preferred treatment for abdominal aortic aneurysm (AAA), offering advantages such as reduced mortality, faster recovery, and fewer complications compared to open repair (OR). However, concerns persist regarding long-term durability, and the need for reinterventions. Among all reported EVAR complications, endograft collapse poses a significant challenge, particularly when presenting with acute lower limb ischemia (ALI).  


The aim of this report is to describe two cases of non-dissection-related abdominal endograft collapse manifesting as ALI, requiring urgent intervention, emergent conversion to OR and complete endograft removal.

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How to Cite
Palughi, Martina, et al. “Endograft Collapse After Standard Endovascular Aneurysm Repair Implantation: A Report of Two Cases”. Annali Italiani Di Chirurgia, vol. 95, no. 4, Aug. 2024, pp. 470-6, doi:10.62713/aic.3373.
Issue
Vol. 95 No. 4 (2024)
Section
Case Report
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