title: In vivo crushing of an aortic stent enables endovascular repair of a large infrarenal aortic pseudoaneurysm.
abstract: OBJECTIVE
  To report an unusual approach to endovascular exclusion of a large aortic pseudoaneurysm.
  
  
  RESULTS
  A 63-year-old male had an unsuccessful endovascular repair of an aortic anastomotic pseudoaneurysm that left an expanded, uncovered Palmaz stent lying obliquely within the aorta. After nearly 3 years, the pseudoaneurysm enlarged to 7 cm, and the patient became symptomatic. Repair of the pseudoaneurysm was accomplished by crushing the indwelling stent to allow placement of a stent-graft.
  
  
  CONCLUSIONS
  Malpositioned stents that are hindering an endoluminal procedure may be crushed against the arterial wall in vivo to facilitate passage of endovascular instruments or devices.
authors.affiliation: The William Dorros-Isadore Feuer Interventional Cardiovascular Disease Foundation, Milwaukee, Wisconsin, USA. gdorros@azheart.com
authors.forename: G
authors.initials: G
authors.lastname: Dorros
authors.forename: M R
authors.initials: MR
authors.lastname: Jaff
authors.forename: A
authors.initials: A
authors.lastname: Parikh
authors.forename: R
authors.initials: R
authors.lastname: Sehgal
authors.forename: V
authors.initials: V
authors.lastname: Thota
authors.forename: K
authors.initials: K
authors.lastname: Ramireddy
authors.forename: R E
authors.initials: RE
authors.lastname: Carballo
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D004621:Embolization, Therapeutic; D006801:Humans; D007083:Iliac Artery; D008297:Male; D008875:Middle Aged; D011859:Radiography; D015607:Stents; D017211:Treatment Failure