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Related Experiment Video

Updated: Dec 9, 2025

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

Open conversion after Nellix endovascular aneurysm sealing.

Giovanni Tinelli¹, Francesco Alberto Codispoti¹, Simona Sica¹

¹Unit of Vascular Surgery, Fondazione Policlinico Universitario Gemelli IRCCS, Roma-Università Cattolica del Sacro Cuore, Rome, Italy.

Journal of Vascular Surgery Cases and Innovative Techniques

|September 14, 2020

Summary

The Nellix system for abdominal aortic aneurysms had many issues, leading to its market withdrawal. This video details the successful removal of this endograft in a patient.

Keywords:

Endovascular aneurysm sealing (EVAS)Nellix Open conversion Personalized medicine

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Area of Science:

Vascular Surgery
Medical Device Technology
Endovascular Interventions

Background:

The Nellix system represented a novel approach to endovascular aneurysm sealing for abdominal aortic aneurysms.
It aimed to provide a durable seal by utilizing inflatable endobags above and below the renal arteries.
Despite its innovative concept, the system was associated with significant adverse events.

Observation:

The patient presented with complications related to the Nellix endograft.
A multidisciplinary team planned and executed a complex explantation procedure.
The video demonstrates the step-by-step technical aspects of the explantation.

Findings:

Successful explantation of the Nellix endograft was achieved.
The procedure highlights the challenges and techniques involved in removing a previously implanted endovascular device.
This case underscores the importance of device retrieval strategies when complications arise.

Implications:

The explantation provides valuable insights for managing patients with challenging endovascular device complications.
Understanding the technical nuances of explantation is crucial for vascular surgeons.
This case contributes to the literature on managing adverse events associated with novel endovascular technologies.