Endobag separation - an ominous sign after endovascular aneurysm sealing with the Nellix device

Sadia Tasleem; Hassan Badri; Narlawar Ranjeet; George A Antoniou

doi:10.1024/0301-1526/a000699

Endobag separation - an ominous sign after endovascular aneurysm sealing with the Nellix device

Vasa. 2018 Jun;47(4):327-329. doi: 10.1024/0301-1526/a000699. Epub 2018 Mar 26.

Authors

Sadia Tasleem¹, Hassan Badri¹, Narlawar Ranjeet², George A Antoniou¹

Affiliations

¹ 1 Department of Vascular and Endovascular Surgery, The Royal Oldham Hospital, Pennine Acute Hospitals NHS Trust, Manchester, United Kingdom.
² 2 Department of Radiology, The Royal Oldham Hospital, Pennine Acute Hospitals NHS Trust, Manchester, United Kingdom.

PMID: 29575981
DOI: 10.1024/0301-1526/a000699

Abstract

Our report aims to alert physicians performing endovascular aneurysm sealing with the Nellix endoprosthesis to the risk of rupture when endobag separation is noticed on computed tomography. Endobag separation when observed with acute presentation of abdominal pain is an indicator of imminent rupture and prompt interventional treatment should be undertaken.

Keywords: Endovascular aneurysm sealing; Nellix endoprosthesis; endobag; rupture.

Publication types

Case Reports
Review

MeSH terms

Abdominal Pain / etiology
Aortic Aneurysm, Abdominal / diagnostic imaging
Aortic Aneurysm, Abdominal / surgery*
Aortic Rupture / diagnostic imaging
Aortic Rupture / etiology*
Aortography / methods
Blood Vessel Prosthesis Implantation / adverse effects
Blood Vessel Prosthesis Implantation / instrumentation*
Blood Vessel Prosthesis*
Computed Tomography Angiography
Endovascular Procedures / adverse effects
Endovascular Procedures / instrumentation*
Humans
Male
Middle Aged
Prosthesis Design
Prosthesis Failure*
Stents*
Treatment Outcome