ISSN 1941-5923

Logo



Get your full text copy in PDF

Multiple complications after aortic stent-graft placement in a patient with preexisting nephrostomy and atherosclerosis of the lower extremities

Michal Stanisic, Natalia Majewska

Am J Case Rep 2011; 12:76-79

DOI: 10.12659/AJCR.881856


Abstract: Background: Aortic stent-graft placement is intended to be a procedure with minimal perioperative risk in comparison to the open procedure. However, the 1.5% mortality rate and the possibility of procedure-related complications should be taken into account.
Case Report: This paper presents multiple procedure-related complications including acute limb ischemia and bowel necrosis in a patient with preexisting nephrostomy operated on with EVAR (endovascular aortic repair). Issues regarding proper anatomical planning and imaging are discussed, and ways to avoid such complications are highlighted.
Conclusions: Multiple complications during EVAR may significantly reduce the early benefit of the procedure. Correct preoperative assessment of CT scans can avoid making an inappropriate decision regarding use of EVAR. In cases of concomitant urological pathology, any surgical intervention should be decided upon in cooperation with the vascular surgeon and urologist.

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
I agree