Renal Artery Dissection during Repositioning of a Mal-deployed Aortic Endograft with Suprarenal Fixation

被引:7
作者
Lee, W. -H. [1 ]
Jung, G. -S. [1 ]
机构
[1] Kosin Univ, Coll Med, Dept Radiol, Pusan 602702, South Korea
关键词
Abdominal aortic aneurysm; Aortic endograft; Endovascular aneurysm repair; Renal artery occlusion;
D O I
10.1016/j.ejvs.2010.08.025
中图分类号
R61 [外科手术学];
学科分类号
摘要
Endograft mal-deployment during endovascular aneurysm repair (EVAR) may cause renal artery (RA) occlusion. We report bilateral RA occlusion following insertion of an endograft with suprarenal barb fixation. Attempted salvage using the 'pull-down' technique caused right RA dissection. Despite bilateral RA stenting, the right kidney was atrophic on an ultrasound scan at 6 months. This potential hazard of devices with suprarenal barb fixation should be considered when repositioning is attempted. (C) 2010 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:736 / 738
页数:3
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