20 Aug 2024Case Report
Endograft Collapse after Standard Endovascular Aneurysm Repair Implantation: A Report of Two Cases
Martina Palughi 1Nazzareno Stella 1Giulia Colonna 1Annalisa Schioppa 2Luigi Rizzo 1Maurizio Taurino 1Pasqualino Sirignano 3
Affiliations
Article Info
1 Vascular and Endovascular Surgery Unit, Sant’Andrea Hospital of Rome, 00189 Rome, Italy; Department of Molecular and Clinical Medicine, “Sapienza” University of Rome, 00189 Rome, Italy
2 Department of Vascular Surgery, San Pietro Hospital–Fatebenefratelli, 00189 Rome, Italy
3 Vascular and Endovascular Surgery Unit, Sant’Andrea Hospital of Rome, 00189 Rome, Italy; Department of General and Specialistic Surgery, “Sapienza” University of Rome, 00185 Rome, Italy
Published: 20 Aug 2024
(This article belongs to the Special Issue Expect the Unexpected: Complications and Disasters After Endovascular Treatments)
Copyright © 2024 The Author(s).
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
Endovascular aneurysm repair (EVAR) has emerged as the preferred treatment for abdominal aortic aneurysm (AAA), offering advantages such as reduced mortality, faster recovery, and fewer complications compared to open repair (OR). However, concerns persist regarding long-term durability, and the need for reinterventions. Among all reported EVAR complications, endograft collapse poses a significant challenge, particularly when presenting with acute lower limb ischemia (ALI). The aim of this report is to describe two cases of non-dissection-related abdominal endograft collapse manifesting as ALI, requiring urgent intervention, emergent conversion to OR and complete endograft removal.
Keywords
- abdominal aortic aneurysm
- acute limb ischemia
- endograft collapse
- endograft infolding
- endovascular repair