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Chirurgia 2017 December;30(6):251-4

DOI: 10.23736/S0394-9508.17.04671-X

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Late complication after endovascular aneurysm repair with multilayer flow modulator: iliac limb migration

Mehmet B. ÇİLDAĞ 1 , Ömer F. KÖSEOĞLU 1, Uğur GÜRCÜN 2

1 Department of Diagnostic and Interventional Radiology, Adnan Menderes University, Aydın, Turkey; 2 Department of Cardiovascular Surgery, Adnan Menderes University, Aydın, Turkey


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Abdominal aortic aneurysm (AAA) is an abnormal dilatation of the aorta and it carries a substantial risk of death following rupture. Endovascular aneurysm repair (EVAR) has been recommended as an alternative to open aneurysm repair. Multilayer flow modulator (MFM) is a new endovascular device that was used at AAA repair with good technical success. We report the case of a 69-year-old man who had had a juxtrarenal AAA of about 5.5 cm in diameter repaired with a MFM in 2012. He was lost to follow-up for the last 4 years. The last computed tomography angiography showed of left iliac stent-graft migrated and causing enlargement of the distal part of aneurysm sac. Reintervention was planned but the patient died before intervention. Late complications of MFM have been reported, but there were no iliac limb migration. This case highlights that iliac limb migration may occur by using MFM in EVAR procedure such as old device.


KEY WORDS: Aortic aneurysm, abdominal - Endovascular procedures - Complications

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