title: Multiple endovascular aortic aneurysm repair graft failures and re-interventions over 15 years.
abstract: Re-intervention on abdominal aortic aneurysm treated by endovascular aortic aneurysm repair for complications such as endoleak, graft migration, and graft failure is relatively common. However, re-do endovascular aortic aneurysm repair can be complex, as the failed graft still resides within the vessel. In addition, some re-do endovascular aortic aneurysm repairs call for an advanced custom graft, which can further increase the complexity and technical skill required. We describe a case of a 15-year-old endovascular aortic aneurysm repair originally implanted in a 71-year-old man, followed by three separate complications requiring intervention. We describe important procedural decisions taken into consideration when presented with failure of an older graft.
authors.affiliation: Division of Vascular Surgery, St. Michael's Hospital, Toronto, ON, Canada.
authors.forename: Jessica
authors.initials: J
authors.lastname: Belchos
authors.affiliation: Division of Vascular Surgery, St. Michael's Hospital, Toronto, ON, Canada; Department of Surgery, University of Toronto, Toronto, ON, Canada.
authors.forename: Mark
authors.initials: M
authors.lastname: Wheatcroft
authors.affiliation: Division of Vascular Surgery, St. Michael's Hospital, Toronto, ON, Canada; Department of Surgery, University of Toronto, Toronto, ON, Canada.
authors.forename: Tony
authors.initials: T
authors.lastname: Moloney
keywords: Endovascular aortic aneurysm repair; abdominal aortic aneurysm; endoleak; graft failure