Fractured Sealing Rings in a Fenestrated Anaconda Stent-Graft.

IF 1.7 2区 医学 Q3 PERIPHERAL VASCULAR DISEASE Journal of Endovascular Therapy Pub Date : 2024-12-01 Epub Date: 2023-03-03 DOI:10.1177/15266028231158955
Shaneel Patel, George Ninkovic-Hall, Richard McWilliams, Simon Neequaye
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Abstract

An 81 year-old man presented with an asymptomatic juxtrarenal abdominal aortic aneurysm and was subsequently treated with a fenestrated endovascular Anaconda stent-graft. Surveillance imaging within the first postoperative year demonstrated a lower proximal sealing ring fracture. In the second postoperative surveillance year, the upper proximal sealing ring was also fractured with extension of the wire into the right paravertebral space. Despite these sealing ring fractures, there were no endoleak nor visceral stent complications and the patient continued on standard surveillance protocols. There are an increasing number of reports of fractured proximal sealing rings with the fenestrated Anaconda platform. Those analysing the surveillance scans of patients treated with this device should stay vigilant for the development of this complication.

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Anaconda 支架移植瘘管中的密封环断裂。
一名 81 岁的男性患有无症状的并肾上腹部主动脉瘤,随后接受了栅栏式血管内 Anaconda 支架移植治疗。术后第一年的监测成像显示,下部近端密封环断裂。在术后第二年的监测中,上部近端密封环也发生骨折,导线延伸至右侧椎旁间隙。尽管出现了这些密封环骨折,但没有出现内漏或内脏支架并发症,患者继续接受标准监测方案。有越来越多的报告称,Anaconda 平台栅栏式近端密封环发生断裂。对使用该装置治疗的患者的监控扫描进行分析的人员应该对这种并发症的发生保持警惕。
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来源期刊
CiteScore
5.30
自引率
15.40%
发文量
203
审稿时长
6-12 weeks
期刊介绍: The Journal of Endovascular Therapy (formerly the Journal of Endovascular Surgery) was established in 1994 as a forum for all physicians, scientists, and allied healthcare professionals who are engaged or interested in peripheral endovascular techniques and technology. An official publication of the International Society of Endovascular Specialists (ISEVS), the Journal of Endovascular Therapy publishes peer-reviewed articles of interest to clinicians and researchers in the field of peripheral endovascular interventions.
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