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Published on: July 7, 2013
Endovascular management of a significantly kinked aortomonoiliac stent graft
Michel A Bartoli1, Antoine Millon, Pierre Edouard Magnan
1Department of Vascular Surgery, Timone Hospital, Marseille, France.
Insights
A rare kink in an aortomonoiliac stent graft was successfully managed endovascularly. This case highlights an unusual complication and its management, differing from typical bifurcated graft issues.
Area of Science:
- Vascular Surgery
- Endovascular Interventions
- Aortic Aneurysm Repair
Background:
- Aortomonoiliac stent grafts are used for aortoiliac pathologies.
- Graft kinking is an uncommon but serious complication.
- Standard management for bifurcated graft kinks involves extra-anatomic bypass.
Observation:
- A highly kinked aortomonoiliac stent graft presented as an unusual complication.
- The kink occurred in a non-bifurcated stent graft, deviating from typical presentations.
Findings:
- Successful endovascular management of the kinked aortomonoiliac stent graft was achieved.
- The study explores potential causes for this rare complication.
Implications:
- This case expands the understanding of stent graft complications beyond bifurcated designs.
- Long-term follow-up may reveal increased incidence of severe kinks in aortomonoiliac grafts.
Abstract:
We report our endovascular management of a highly kinked aortomonoiliac stent graft. This complication is unusual because kinks generally occur in bifurcated stent grafts and they are managed with extra-anatomic bypass. We will then expose the possible reasons for such complication. With long term follow-up severe kink might be reported more often.
