Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5597890 | Annals of Vascular Surgery | 2017 | 16 Pages |
Abstract
Iliac arterial disease, unfavorable anatomy, and prior stenting all pose challenges to access in endovascular abdominal aortic repair (EVAR) and thoracic aortic repair (TEVAR). Iliac access injury during T/EVAR may lead to rupture, dissection, thrombosis, or distal ischemia. Some have advocated iliac stent prior to T/EVAR in patients with suboptimal iliac access. The rate of complication and iliac stent migration during subsequent T/EVAR is undocumented. This case report describes a unique instance of self-expanding iliac stent migration during TEVAR which pinched the thoracic aortic endograft causing functional aortic coarctation.
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Authors
Jamie Clementi, Sungho Lim, Pegge Halandras, Bernadette Aulivola, Paul R. Crisostomo,