Retroperitoneal Hematoma Caused by Suprarenal Stent Perforation Two Years after Ovation Abdominal Stent-Graft Implantation

Andrea Siani; Roberto Gabrielli; Federico Accrocca; Tommaso Castrucci; Gianluca Smedile; Stefano Bartoli

doi:10.1016/j.avsg.2020.01.093

Retroperitoneal Hematoma Caused by Suprarenal Stent Perforation Two Years after Ovation Abdominal Stent-Graft Implantation

Ann Vasc Surg. 2020 Jul:66:671.e5-671.e9. doi: 10.1016/j.avsg.2020.01.093. Epub 2020 Feb 3.

Authors

Andrea Siani¹, Roberto Gabrielli², Federico Accrocca¹, Tommaso Castrucci¹, Gianluca Smedile¹, Stefano Bartoli¹

Affiliations

¹ Unit of Vascular, Endovascular and Emergency Vascular Surgery/Department of Surgery/"S. Eugenio" Hospital, ASL-RM 2, Rome, Italy.
² Unit of Vascular, Endovascular and Emergency Vascular Surgery/Department of Surgery/"S. Eugenio" Hospital, ASL-RM 2, Rome, Italy. Electronic address: rogavasc@gmail.com.

PMID: 32027987
DOI: 10.1016/j.avsg.2020.01.093

Abstract

Retroperitoneal hematoma due to late perforation of aortic wall endograft deployment is a rare but, potentially, fatal event. We report a case of symptomatic retroperitoneal hematoma due to aortic perforation by free flow barbs of Ovation Prime stent graft. The patient was successfully treated by celiac trunk embolization and aortic cuff placement. The patient was discharged with no further treatment. At 3-month follow-up, no complications were detected.

Publication types

Case Reports
Video-Audio Media

MeSH terms

Aged
Aortic Aneurysm, Abdominal / diagnostic imaging
Aortic Aneurysm, Abdominal / surgery*
Blood Vessel Prosthesis Implantation / adverse effects
Blood Vessel Prosthesis Implantation / instrumentation*
Embolization, Therapeutic
Endovascular Procedures / adverse effects
Endovascular Procedures / instrumentation*
Foreign-Body Migration / diagnostic imaging
Foreign-Body Migration / etiology*
Foreign-Body Migration / therapy
Hematoma / diagnostic imaging
Hematoma / etiology
Hematoma / therapy*
Humans
Male
Prosthesis Design
Retroperitoneal Space
Stents*
Time Factors
Treatment Outcome