INTRODUCTION We report a case of an emergency high-risk patient with a pararenal aortic aneurysm. REPORT Our patient had a pararenal aneurysm with two components: a wide-neck saccular aneurysm below the left renal artery and a fusiform aneurysm. A self-expandable aortic stent was deployed covering both renal arteries, the saccular aneurysm was embolised with microcoils and a bifurcated aortic...

We report renal salvage maneuvers after accidental bilateral renal artery coverage during endovascular aneurysm repair of an infrarenal abdominal aortic aneurysm. A 79-year-old man with an infrarenal abdominal aortic aneurysm was treated with endovascular aneurysm repair. Completion angiography demonstrated coverage of the renal arteries. Several revascularization techniques were attempted, inc...

The frozen elephant procedure, as a hybrid method to treat aortic pathologies involving the aortic arch and the proximal descending aorta, has become an accepted treatment option. We report two late fractures of the nitinol stents of the endograft of an early frozen elephant trunk prosthesis. One patient suffered from a tear of the woven polyester fabric, causing a Type III endoleak and rapid p...

OBJECTIVE The purpose of this study was to examine the effect of aortoiliac tortuosity, as assessed by observers and 3-dimensional (3D) computer-based methods, on the conduct and outcome of endovascular repair of abdominal aortic aneurysms. METHODS Infrarenal aortoiliac tortuosity was measured in 75 patients (mean follow-up, 14.8 +/- 10.4 months) who underwent endovascular repair of abdominal...

OBJECTIVE We reviewed the structural findings of explanted AneuRx stent grafts used to treat abdominal aortic aneurysms, and relate the findings to clinical outcome measures. METHODS We reviewed data for all bifurcated AneuRx stent grafts explanted at surgery or autopsy and returned to the manufacturer from the US clinical trial and worldwide experience of more than 33,000 implants from 1996 ...

We report a case of serial occurrence different type II endoleak from inferior mesenteric artery and lumbar artery. Despite repeated interventions, gradually expanding aneurysmal sac was eventually followed by impending rupture. In the end, patient required open repair that revealed Ib which is not identified in CT scan or ultrasonography previously. The has been without any specific findings f...

Recently, the endovascular approach in abdominal aorta aneurysm (AAA) management has become a more popular and alternative to open surgery, mainly when is achieved proper patients that comfortable for both patient surgeon. In this case, our developed Type III endoleak complication after 2 years of Endovascular repair (EVAR) procedure was treated by surgery combined graft technique.