Dacron graft aneurysm treated by endovascular stent-graft.
A 72-year old man who underwent aorto-bifemoral bypass with insertion of a Dacron graft 18 years previously presented with an aneurysm in the left limb of his graft. Angiography also demonstrated a bilateral occlusion of the popliteal arteries. Computed tomography (CT) angiography was performed and showed a localized dilation of 3 cm in the left limb of the graft, which had a diameter of 14 mm throughout. In view of the technical difficulties of a surgical procedure, an endovascular stent was considered. Through a left femoral arteriotomy, a stent graft was inserted and deployed in the left limb of the graft. This resulted in total exclusion of the Dacron graft aneurysm. To the best of our knowledge, this is the first report of such a procedure.
Ofer
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Interventional Radiology Unit, Department of Diagnostic Radiology, Rambam Medical Center and Faculty of Medicine, Technion-Israel Institute of Technology, POB 9602 Haifa 31096, Israel. a_ofer@rambam.health.gov.co.il
Nitecki
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S
Hoffman
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Engel
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A
D000368:Aged; D000783:Aneurysm / Q000209:etiology / Q000601:surgery*; D001012:Aorta, Abdominal / Q000601:surgery*; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D008297:Male; D011093:Polyethylene Terephthalates; D015607:Stents
D011093:Polyethylene Terephthalates