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Endovascular Conversion of a Failed Nellix AAA-Repair by a Custom-Made Branched Device
Baban Assaf1, Martin J Austermann1, Marco V Usai1
1Department of Vascular and Endovascular Surgery, St. Franziskus-Hospital Muenster, Munster, Germany.
Purpose:
This technical note presents a case of a patient with a failed Nellix device (Endologix, Irvine, Calif) who was not deemed fit for open conversion. Our planned approach for repair involved an endovascular procedure utilizing a custom-made branched device.
Technique:
An endovascular repair was performed via a custom-made four outer branched device in conjunction with a custom-made bifurcated graft featuring inverted limbs (Cook Inc., Bloomington, Ind). All branches were connected to the target vessel with Gore Viabahn VBX balloon-expandable covered stents (Gore & Associates Inc.).
Conclusion:
Endovascular conversion with branched endovascular repair in a patient not deemed fit for open surgery was successfully performed, thereby reducing the risk of a high morbid and mortal procedure.Clinical ImpactNovel useful treatment solution of failed EVAR with Nellix device.
