title: ''Relining'' of thoracic aortic stent grafts for patients presenting with rupture/impending rupture.
abstract: OBJECTIVE
  To report a series of patients following thoracic endovascular aortic repair (TEVAR) presenting with rupture, who were effectively treated with TEVAR relining.
  
  
  METHODS
  Five patients who underwent repeat TEVAR in an urgent fashion were identified. Chart review was performed to identify demographics, device type, aneurysm characteristics, and postoperative course.
  
  
  RESULTS
  Mean time to relining procedure was 5.8 (range 2-10) years. All patients had ≥3 device components originally placed. Mean size of the original aneurysm was 7.2 cm (range 6.6-8). All patients underwent relining with proximal and distal extension with immediate technical success. At a mean follow-up of 1.3 years, there was no evidence of endoleak and no patients required repeat intervention.
  
  
  CONCLUSIONS
  Complete relining with proximal and distal extension was effective in treating patients presenting with rupture. These findings suggest that proximal and distal landing zones provided, relining should be considered the initial management strategy in patients s/p TEVAR re-presenting with rupture.
authors.affiliation: Division of Vascular Surgery and Endovascular Therapy, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA. Grace.Wang@uphs.upenn.edu
authors.forename: Grace J
authors.initials: GJ
authors.lastname: Wang
authors.forename: Benjamin M
authors.initials: BM
authors.lastname: Jackson
authors.forename: Edward Y
authors.initials: EY
authors.lastname: Woo
authors.forename: Joseph E
authors.initials: JE
authors.lastname: Bavaria
authors.forename: Nimesh D
authors.initials: ND
authors.lastname: Desai
authors.forename: Alberto
authors.initials: A
authors.lastname: Pochettino
authors.forename: Ronald M
authors.initials: RM
authors.lastname: Fairman
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000209:etiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008297:Male; D015143:Philadelphia; D011474:Prosthesis Design; D012086:Reoperation; D012189:Retrospective Studies; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome