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Published in: CardioVascular and Interventional Radiology 4/2016

01-04-2016 | Case Report

Endovascular Aneurysm Repair and Sealing (EVARS): A Useful Adjunct in Treating Challenging Morphology

Authors: Gareth J. Harrison, George A. Antoniou, Francesco Torella, Richard G. McWilliams, Robert K. Fisher

Published in: CardioVascular and Interventional Radiology | Issue 4/2016

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Abstract

An 81-year-old male with previous open abdominal aortic aneurysm repair presented with asymptomatic large pseudoaneurysms at both ends of an open surgical tube graft. Endovascular aneurysm sealing (EVAS) in combination with the iliac limbs of a standard endovascular aneurysm repair (EVAR) successfully excluded both pseudoaneurysms from circulation. We describe the combination of elements of EVAS and EVAR and have termed this endovascular aneurysm repair and sealing (EVARS). EVARS has the advantage of harnessing the benefits of endobag sealing in aortic necks unsuitable for standard EVAR whilst providing the security of accurate stent placement within short common iliac arteries. In conclusion, EVAS may be combined with standard endovascular iliac limbs and is a possible treatment option for pseudoaneurysm following open aneurysm repair.
Literature
1.
go back to reference Donayre CE, Zarins CK, Krievins DK, Holden A, Hill A, Calderas C, Velez J, White RA. Initial clinical experience with a sac-anchoring endoprosthesis for aortic aneurysm repair. J Vasc Surg. 2011;53:574–82.CrossRefPubMed Donayre CE, Zarins CK, Krievins DK, Holden A, Hill A, Calderas C, Velez J, White RA. Initial clinical experience with a sac-anchoring endoprosthesis for aortic aneurysm repair. J Vasc Surg. 2011;53:574–82.CrossRefPubMed
2.
go back to reference Antoniou GA, Harrison GJ, Neequaye S, McWilliams RG, Torella F, Fisher RK. Aortic dehiscence during endovascular sealing for ruptured abdominal aortic aneurysms. J Endovasc Ther. 2015. doi:10.1177/1526602815601404. Antoniou GA, Harrison GJ, Neequaye S, McWilliams RG, Torella F, Fisher RK. Aortic dehiscence during endovascular sealing for ruptured abdominal aortic aneurysms. J Endovasc Ther. 2015. doi:10.​1177/​1526602815601404​.
3.
go back to reference Holden A. Endovascular aneurysm sealing for abdominal aortic aneurysm repair: evolution or revolution? Cardiovasc Interv Radiol. 2014;37:1129–36.CrossRef Holden A. Endovascular aneurysm sealing for abdominal aortic aneurysm repair: evolution or revolution? Cardiovasc Interv Radiol. 2014;37:1129–36.CrossRef
4.
go back to reference Bockler D, Holden A, Thompson M, Hayes P, Krievins D, de Vries JP, Reijnen MM. Multicenter nellix endovascular aneurysm sealing system experience in aneurysm sac sealing. J Vasc Surg. 2015. doi:10.1016/j.jvs.2015.03.031. Bockler D, Holden A, Thompson M, Hayes P, Krievins D, de Vries JP, Reijnen MM. Multicenter nellix endovascular aneurysm sealing system experience in aneurysm sac sealing. J Vasc Surg. 2015. doi:10.​1016/​j.​jvs.​2015.​03.​031.
5.
go back to reference McWilliams RG, Fisher RK, England A, Torella F. Observations on surveillance imaging after endovascular sealing of abdominal aortic aneurysms with the nellix system. J Endovasc Ther. 2015. doi:10.1177/1526602815582209. McWilliams RG, Fisher RK, England A, Torella F. Observations on surveillance imaging after endovascular sealing of abdominal aortic aneurysms with the nellix system. J Endovasc Ther. 2015. doi:10.​1177/​1526602815582209​.
Metadata
Title
Endovascular Aneurysm Repair and Sealing (EVARS): A Useful Adjunct in Treating Challenging Morphology
Authors
Gareth J. Harrison
George A. Antoniou
Francesco Torella
Richard G. McWilliams
Robert K. Fisher
Publication date
01-04-2016
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 4/2016
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-015-1221-1

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