Late failure of a Nellix endoprosthesis treated with the t-Branch off-the-shelf multibranched stent graft

Antonio Lorido; Matteo Orrico; Mario Marino; Alessio Vona; Sonia Ronchey; Nicola Mangialardi

doi:10.1016/j.jvscit.2019.10.004

Late failure of a Nellix endoprosthesis treated with the t-Branch off-the-shelf multibranched stent graft

J Vasc Surg Cases Innov Tech. 2019 Nov 22;5(4):576-579. doi: 10.1016/j.jvscit.2019.10.004. eCollection 2019 Dec.

Authors

Antonio Lorido¹, Matteo Orrico¹, Mario Marino¹, Alessio Vona¹, Sonia Ronchey¹, Nicola Mangialardi¹

Affiliation

¹ Department of Vascular Surgery, San Camillo-Forlanini Hospital, Rome, Italy.

Abstract

A 66-year-old man arrived at our emergency department 3 years after an endovascular aneurysm sealing procedure performed at another center. Computed tomography angiography showed distal migration of a Nellix endoprosthesis (Endologix, Irvine, Calif) and a posterior contained rupture. The left kidney was excluded by an occluded iliac-left renal bypass, which was performed at the time of the Nellix implantation because of unintended coverage. A t-Branch (Cook Medical, Bloomington, Ind) was implanted in an emergency, but the delivery caused disruption of the Nellix limb, requiring relining. Target vessels were bridged with VBX stents (W. L. Gore & Associates, Flagstaff, Ariz). The postoperative course was uneventful except for renal function impairment that was restored 2 weeks later.

Keywords: BEVAR; EVAS; Nellix; Type IA endoleak; t-Branch.

Publication types

Case Reports