title: Descending thoracic aorta remodeling after multilayer stent release.
abstract: The multilayer flow modulator (MFM) is a device whose real effectiveness in the treatment of thoracoabdominal aortic aneurysms is not clear yet. A 68-year-old man with a 18-mm blister-like aneurysm of the descending thoracic aorta underwent endovascular exclusion, complicated by the thrombosis of a previous aortobi-iliac prosthesis, treated with embolectomy and femorofemoral bypass. Therefore, an MFM placement was planned. The postoperative course was uneventful and the 6-month computed tomography scan showed a complete thrombosis and remodeling of the aneurysm. The MFM stent could be an alternative treatment for saccular thoracic aortic aneurysm in high-risk patients but should not be used indiscriminately when other modalities of aortic repair are not feasible. Longer follow-up is mandatory to prove the efficacy of this technology.
authors.affiliation: Division of Vascular and Endovascular Surgery, Foundation IRCCS Policlinico San Matteo, Pavia, Italy. Electronic address: a.bozzani@smatteo.pv.it.
authors.forename: Antonio
authors.initials: A
authors.lastname: Bozzani
authors.affiliation: Division of Vascular and Endovascular Surgery, Foundation IRCCS Policlinico San Matteo, Pavia, Italy.
authors.forename: Vittorio
authors.initials: V
authors.lastname: Arici
authors.affiliation: Division of Vascular and Endovascular Surgery, Foundation IRCCS Policlinico San Matteo, Pavia, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Bonalumi
authors.affiliation: Division of Vascular and Endovascular Surgery, Foundation IRCCS Policlinico San Matteo, Pavia, Italy.
authors.forename: Angelo
authors.initials: A
authors.lastname: Argenteri
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D001027:Aortography; D001807:Blood Vessel Prosthesis; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D011184:Postoperative Period; D011474:Prosthesis Design; D014057:Tomography, X-Ray Computed; D066253:Vascular Remodeling