28 June 2011
Multiple complications after aortic stent-graft placement in a patient with preexisting nephrostomy and atherosclerosis of the lower extremities
Michal Stanisic, Natalia MajewskaDOI: 10.12659/AJCR.881856
Am J Case Rep 2011; 12:76-79
Abstract
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.
Keywords: abdominal aortic aneurysm complications, aortic stentgrafts, nephrostomy, bowel necrosis, acute limb ischemia
In Press
Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.946588
Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.946011
Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.945910
Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.945852
Most Viewed Current Articles
21 Jun 2024 : Case report
88,859
DOI :10.12659/AJCR.944371
Am J Case Rep 2024; 25:e944371
07 Mar 2024 : Case report
50,114
DOI :10.12659/AJCR.943133
Am J Case Rep 2024; 25:e943133
20 Nov 2023 : Case report
25,398
DOI :10.12659/AJCR.941424
Am J Case Rep 2023; 24:e941424
18 Feb 2024 : Case report
22,663
DOI :10.12659/AJCR.943030
Am J Case Rep 2024; 25:e943030