Stephen O'Neill1, Anton Collins, Denis Harkin. 1. Regional Vascular Surgery Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust, Belfast, Northern Ireland, UK. stephenoneill@doctors.org.uk
Abstract
PURPOSE: This case aims to highlight the need for careful scrutiny of the distal aorta during endovascular aneurysm repair (EVAR) planning to avoid potentially avoidable graft limb occlusion. CASE REPORT: We present a case of graft limb occlusion after EVAR, unresponsive to endovascular re-intervention requiring surgical extra-anatomic revascularization, due to a narrow distal aorta causing graft impingement and collapse. CONCLUSION: We suggest clinicians should be aware of this potential pitfall during EVAR planning and beware the narrow distal aorta.
PURPOSE: This case aims to highlight the need for careful scrutiny of the distal aorta during endovascular aneurysm repair (EVAR) planning to avoid potentially avoidable graft limb occlusion. CASE REPORT: We present a case of graft limb occlusion after EVAR, unresponsive to endovascular re-intervention requiring surgical extra-anatomic revascularization, due to a narrow distal aorta causing graft impingement and collapse. CONCLUSION: We suggest clinicians should be aware of this potential pitfall during EVAR planning and beware the narrow distal aorta.
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