Nellix Endobag rupture associated with a fatal outcome

Stuart R Walker; Emma Sim; Jens J Froelich

doi:10.1016/j.jvs.2018.09.041

Nellix Endobag rupture associated with a fatal outcome

J Vasc Surg. 2019 Jun;69(6):1936-1939. doi: 10.1016/j.jvs.2018.09.041. Epub 2018 Nov 26.

Authors

Stuart R Walker¹, Emma Sim², Jens J Froelich³

Affiliations

¹ Clinical School, University of Tasmania, Hobart, Tasmania, Australia; Department of Vascular and Endovascular Surgery, Royal Hobart Hospital, Hobart, Tasmania, Australia. Electronic address: [email protected].
² Department of Vascular and Endovascular Surgery, Royal Hobart Hospital, Hobart, Tasmania, Australia.
³ Menzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia; Department of Medical Imaging, Royal Hobart Hospital, Hobart, Tasmania, Australia.

PMID: 30497865
DOI: 10.1016/j.jvs.2018.09.041

Abstract

Endovascular treatment of a type IA endoleak was conducted using a Nellix chimney graft technique for an expanding abdominal aortic aneurysm in an 84-year-old man. During the procedure, a polymer leak occurred from one of the endobags. Postoperatively, the patient developed hemodynamic instability and a swollen leg on the side of the leaking endobag, resulting in a fatal outcome.

Keywords: EVAS; Endoleak; Endovascular aneurysm sealing.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Aortic Aneurysm, Abdominal / diagnostic imaging
Aortic Aneurysm, Abdominal / physiopathology
Aortic Aneurysm, Abdominal / surgery*
Blood Vessel Prosthesis Implantation / adverse effects
Blood Vessel Prosthesis Implantation / instrumentation*
Blood Vessel Prosthesis*
Endoleak / diagnostic imaging
Endoleak / etiology
Endoleak / physiopathology
Endoleak / surgery*
Endovascular Procedures / adverse effects
Endovascular Procedures / instrumentation*
Fatal Outcome
Hemodynamics
Humans
Male
Prosthesis Design
Prosthesis Failure*
Reoperation
Treatment Outcome