Nellix stent graft explant: a great challenge for late open conversion of failed endovascular aortic repair
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.48750/acv.470 |
Resumo: | INTRODUCTION: The concept of the Nellix endoprosthesis is based on endovascular aneurysm sealing with endobags and was launched in the market for endovascular abdominal aortic aneurysm repair (EVAR). The manufacturer recently issued a hazard alert due to higher rates of endoleaks, migration and aneurysm enlargement. CASE REPORT: The authors present a clinical case of a seventy year-old man previously submitted to EVAR with a Nellix device in another country. The patient presented with an asymptomatic Type Ia endoleak and proximal aortic neck aneurysmatic degeneration. The anatomy was considered unfavourable for further endovascular management. After multidisciplinary discussion and workup, open surgical conversion was selected. Complete endoprosthesis explantation and in-situ reconstruction were performed. The post-operative course was uneventful. CONCLUSION: Once presented with a patient considered fit for open surgical conversion and with aneurysm morphology unfavourable for endovascular, the authors believe that open conversion may constitute a very acceptable method of repair and should be offered. |
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Nellix stent graft explant: a great challenge for late open conversion of failed endovascular aortic repairNellix endograftEndovascular aneurysm repairExplantEndoleakINTRODUCTION: The concept of the Nellix endoprosthesis is based on endovascular aneurysm sealing with endobags and was launched in the market for endovascular abdominal aortic aneurysm repair (EVAR). The manufacturer recently issued a hazard alert due to higher rates of endoleaks, migration and aneurysm enlargement. CASE REPORT: The authors present a clinical case of a seventy year-old man previously submitted to EVAR with a Nellix device in another country. The patient presented with an asymptomatic Type Ia endoleak and proximal aortic neck aneurysmatic degeneration. The anatomy was considered unfavourable for further endovascular management. After multidisciplinary discussion and workup, open surgical conversion was selected. Complete endoprosthesis explantation and in-situ reconstruction were performed. The post-operative course was uneventful. CONCLUSION: Once presented with a patient considered fit for open surgical conversion and with aneurysm morphology unfavourable for endovascular, the authors believe that open conversion may constitute a very acceptable method of repair and should be offered.Sociedade Portuguesa de Angiologia e Cirurgia Vascular2023-01-07info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.48750/acv.470https://doi.org/10.48750/acv.470Angiologia e Cirurgia Vascular; Vol. 18 No. 3 (2022): September; 202-205Angiologia e Cirurgia Vascular; Vol. 18 N.º 3 (2022): September; 202-2052183-00961646-706Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://acvjournal.com/index.php/acv/article/view/470http://acvjournal.com/index.php/acv/article/view/470/309Copyright (c) 2022 Angiologia e Cirurgia Vascularinfo:eu-repo/semantics/openAccessSousa, Pedro PintoAntunes, InêsBraga, SandrinaSimões, João CorreiaCarrilho, CelsoMesquita, Amílcar2023-01-11T10:18:34Zoai:ojs.acvjournal.com:article/470Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:30:07.551264Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Nellix stent graft explant: a great challenge for late open conversion of failed endovascular aortic repair |
title |
Nellix stent graft explant: a great challenge for late open conversion of failed endovascular aortic repair |
spellingShingle |
Nellix stent graft explant: a great challenge for late open conversion of failed endovascular aortic repair Sousa, Pedro Pinto Nellix endograft Endovascular aneurysm repair Explant Endoleak |
title_short |
Nellix stent graft explant: a great challenge for late open conversion of failed endovascular aortic repair |
title_full |
Nellix stent graft explant: a great challenge for late open conversion of failed endovascular aortic repair |
title_fullStr |
Nellix stent graft explant: a great challenge for late open conversion of failed endovascular aortic repair |
title_full_unstemmed |
Nellix stent graft explant: a great challenge for late open conversion of failed endovascular aortic repair |
title_sort |
Nellix stent graft explant: a great challenge for late open conversion of failed endovascular aortic repair |
author |
Sousa, Pedro Pinto |
author_facet |
Sousa, Pedro Pinto Antunes, Inês Braga, Sandrina Simões, João Correia Carrilho, Celso Mesquita, Amílcar |
author_role |
author |
author2 |
Antunes, Inês Braga, Sandrina Simões, João Correia Carrilho, Celso Mesquita, Amílcar |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Sousa, Pedro Pinto Antunes, Inês Braga, Sandrina Simões, João Correia Carrilho, Celso Mesquita, Amílcar |
dc.subject.por.fl_str_mv |
Nellix endograft Endovascular aneurysm repair Explant Endoleak |
topic |
Nellix endograft Endovascular aneurysm repair Explant Endoleak |
description |
INTRODUCTION: The concept of the Nellix endoprosthesis is based on endovascular aneurysm sealing with endobags and was launched in the market for endovascular abdominal aortic aneurysm repair (EVAR). The manufacturer recently issued a hazard alert due to higher rates of endoleaks, migration and aneurysm enlargement. CASE REPORT: The authors present a clinical case of a seventy year-old man previously submitted to EVAR with a Nellix device in another country. The patient presented with an asymptomatic Type Ia endoleak and proximal aortic neck aneurysmatic degeneration. The anatomy was considered unfavourable for further endovascular management. After multidisciplinary discussion and workup, open surgical conversion was selected. Complete endoprosthesis explantation and in-situ reconstruction were performed. The post-operative course was uneventful. CONCLUSION: Once presented with a patient considered fit for open surgical conversion and with aneurysm morphology unfavourable for endovascular, the authors believe that open conversion may constitute a very acceptable method of repair and should be offered. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-01-07 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.48750/acv.470 https://doi.org/10.48750/acv.470 |
url |
https://doi.org/10.48750/acv.470 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://acvjournal.com/index.php/acv/article/view/470 http://acvjournal.com/index.php/acv/article/view/470/309 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Angiologia e Cirurgia Vascular info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Angiologia e Cirurgia Vascular |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
dc.source.none.fl_str_mv |
Angiologia e Cirurgia Vascular; Vol. 18 No. 3 (2022): September; 202-205 Angiologia e Cirurgia Vascular; Vol. 18 N.º 3 (2022): September; 202-205 2183-0096 1646-706X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799130758267273216 |