PURPOSE: To present treatment of a juxtarenal aneurysm using the Nellix endovascular aneurysm sealing system (EVAS) and a chimney stent. CASE REPORT: A 79-year-old woman was diagnosed with a 6-cm juxtarenal aneurysm. Standard endovascular aneurysm repair was not possible due to lack of an adequate infrarenal landing zone, and poor iliac access and angulated visceral aortic branches precluded a custom-made fenestrated solution. The patient was not a suitable candidate for open surgery due to significant comorbidity, so she underwent successful endovascular aneurysm repair with the Nellix EVAS system and a renal chimney stent. Follow-up imaging at 6 months showed a sealed aneurysm sac and patent renal chimney stent. CONCLUSION: The Nellix EVAS system obliterates the aneurysm sac using polymer-filled endobags. The ability of the endobags to conform to adjacent structures may offer advantages over conventional endografts when combined with parallel grafts designed to treat juxtarenal aneurysms.
PURPOSE: To present treatment of a juxtarenal aneurysm using the Nellix endovascular aneurysm sealing system (EVAS) and a chimney stent. CASE REPORT: A 79-year-old woman was diagnosed with a 6-cm juxtarenal aneurysm. Standard endovascular aneurysm repair was not possible due to lack of an adequate infrarenal landing zone, and poor iliac access and angulated visceral aortic branches precluded a custom-made fenestrated solution. The patient was not a suitable candidate for open surgery due to significant comorbidity, so she underwent successful endovascular aneurysm repair with the Nellix EVAS system and a renal chimney stent. Follow-up imaging at 6 months showed a sealed aneurysm sac and patent renal chimney stent. CONCLUSION: The Nellix EVAS system obliterates the aneurysm sac using polymer-filled endobags. The ability of the endobags to conform to adjacent structures may offer advantages over conventional endografts when combined with parallel grafts designed to treat juxtarenal aneurysms.
Authors: Jorg L de Bruin; Jack R W Brownrigg; Alan Karthikesalingam; Benjamin O Patterson; Peter J E Holt; Robert J Hinchliffe; Robert A Morgan; Ian M Loftus; Matthew M Thompson Journal: J Endovasc Ther Date: 2015-04-22 Impact factor: 3.487
Authors: Martin Rabellino; Pedro N Moltini; Vanesa G Di Caro; Jose G Chas; Ricardo Marenchino; Ricardo D Garcia-Monaco Journal: World J Cardiol Date: 2017-07-26
Authors: Theodorus G van Schaik; Jorn P Meekel; Vincent Jongkind; Rutger J Lely; Maarten Truijers; Arjan W J Hoksbergen; Willem Wisselink; Jan D Blankensteijn; Kak Khee Yeung Journal: J Endovasc Ther Date: 2018-12-21 Impact factor: 3.487