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Published on: March 28, 2025
Percutaneous treatment of stent-graft (viabahn) thrombosis employing a second stent-graft
Spas Kotev1, Manjusha Anna, Humayun Iftikhar
1Department of Cardiology, 201 Lyons Ave, Suite C-2, Newark, NJ 07112 USA. Nwasty@barnabashealth.org.
Abstract:
Acute thrombosis is the most common mode of stent-graft failure. Thrombectomy and thrombolysis have inadequate medium-term and long-term results. We propose a new technique for treating acute stent-graft thrombosis by "relining" the thrombosed graft with a second stent-graft. Ten patients were treated with this technique and have been free of any repeat intervention for up to 1 year, showing its feasibility. The Viabahn-in-Viabahn technique needs a larger study to confirm its efficacy and safety.
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