The use of an endovascular stent graft with 'homemade' fenestrations to treat an infected aortic endograft in an emergency setting: A short report

L. Morgan-Rowe, D. Simring, J. Raja, O. Agu, T. Richards, K. Ivancev

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Introduction: The treatment options for an infected fenestrated endovascular aneurysm repair (FEVAR) are limited. Report: A patient with a bi-renal FEVAR developed a type 1a and type 3 endoleak, with destruction of the neck of the aneurysm, likely due to infection. In a tapered thoracic aortic stent, "home-made" fenestrations were created for the renal arteries and superior mesenteric artery. Successful coverage of the infected aorta excluded the endoleaks. Life-long antibiotics were commenced. Discussion: There was a risk of imminent rupture, thus ruling out waiting for a custom-made FEVAR. This technique facilitated emergent treatment, and obviated the need for open surgery.

Original languageEnglish
Pages (from-to)e34-e36
Number of pages3
JournalEJVES Extra
Volume22
Issue number4
DOIs
Publication statusPublished - Oct 2011
Externally publishedYes

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