title: Endovascular management of delayed complete graft thrombosis after endovascular aneurysm repair.
abstract: Graft thrombosis rates after endovascular aneurysm repair (EVAR) of abdominal aortic aneurysms vary widely in published series. When thrombosis does occur, it usually involves a single limb and occurs within 3 months of stent-graft insertion. If the entire endoprosthesis is thrombosed, treatment may be challenging because femoro-femoral crossover graft insertion is not an option and a greater volume of thrombus is present, thus making thrombolysis more difficult. We present two cases of delayed thrombosis after EVAR involving the entire stent-graft. These were successfully treated by a combined surgical and endovascular technique, and patency has been maintained in both cases to date.
authors.affiliation: Department of Radiology, Derby Hospitals, Uttoxeter Road, Derby DE22 3NE, UK. pthurley@doctors.org.uk
authors.forename: Peter D
authors.initials: PD
authors.lastname: Thurley
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Glasby
authors.forename: John G
authors.initials: JG
authors.lastname: Pollock
authors.forename: Peter
authors.initials: P
authors.lastname: Bungay
authors.forename: Mario
authors.initials: M
authors.lastname: De Nunzio
authors.forename: Amin M
authors.initials: AM
authors.lastname: El-Tahir
authors.forename: John W
authors.initials: JW
authors.lastname: Quarmby
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D057510:Endovascular Procedures / Q000379:methods*; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D015607:Stents; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex / Q000379:methods; D014654:Vascular Patency; D020246:Venous Thrombosis / Q000175:diagnosis / Q000601:surgery*