title: Stent Graft Dislocation after EVAR Treated with an Endostapling Fixation System.
abstract: Stent-graft migration and type I endoleak are major complications after endovascular aneurysm repair (EVAR). We present a case of an 88-year-old female patient with a 56-mm-diameter progredient infrarenal AAA, with severely angulated proximal aneurysm neck and iliac arteries. EVAR was performed using a Gore Excluder stent-graft. -Computed tomography angiography (CTA) at one week postoperatively demonstrated a dislocation of the stent-graft and a proximal Type I endoleak. Placement of a proximal cuff with the use of 6 endostaples resulted in proximal neck seal and exclusion of the endoleak. CTA 2 years postoperatively showed no signs of a proximal type I endoleak. Use of an endostapling fixation system is a viable treatment option in cases of stent-graft dislocation resulting from angulation of the proximal neck.
authors.affiliation: Department of Vascular and Endovascular Surgery, Klinikum Nürnberg Süd, Germany.
authors.forename: O
authors.initials: O
authors.lastname: Yazar
authors.forename: K
authors.initials: K
authors.lastname: Oikonomou
authors.forename: A
authors.initials: A
authors.lastname: Katsargyris
authors.forename: E L G
authors.initials: EL
authors.lastname: Verhoeven
mesh_terms: D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000379:methods*; D057867:Endoleak / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D057510:Endovascular Procedures / Q000009:adverse effects*; D005260:Female; D006801:Humans; D011475:Prosthesis Failure / Q000009:adverse effects*; D015607:Stents; D017792:Surgical Stapling