Neck remodeling using the amplatzer vascular plug to facilitate endovascular repair of a contained abdominal aortic rupture.

Abstract

PURPOSE:

To describe the use of an Amplatzer Vascular Plug to facilitate endovascular aneurysm repair (EVAR) in a renal transplantation recipient with contained rupture of an abdominal aortic aneurysm (AAA).

CASE REPORT:

A 52-year-old man with a history of kidney transplantation and a 4-cm AAA was referred to our hospital with severe abdominal pain. Imaging showed the contained AAA rupture measuring 8 cm, with 2 blisters at the proximal short neck and narrow calcified iliac arteries. The blisters were the probable sites of rupture, and the cranial one was 4 mm below the superior mesenteric artery, precluding conventional EVAR. The Amplatzer Vascular Plug was used to occlude the blister and remodel the proximal neck so that a low-profile Ovation prosthesis could be passed through the narrow calcified iliac artery without damaging the transplanted renal artery anastomosed to the external iliac artery.

CONCLUSION:

The unconventional use of the Amplatzer Vascular Plug for neck remodeling made EVAR possible in this case.

• Authors: Roberto Gandini, Enrico Pampana, Matteo Stefanini, Sergio Spano, Fabio Martinelli, Daniele Citraro, Giovanni Simonetti
• Journal: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists (J Endovasc Ther) Vol. 20 Issue 1 Pg. 20-5 (Feb 2013) ISSN: 1545-1550 [Electronic] United States
• PMID: 23391077 (Publication Type: Case Reports, Journal Article)

Topics

• Aortic Aneurysm, Abdominal (complications, surgery)
• Aortic Rupture (complications, surgery)
• Endovascular Procedures (instrumentation, methods)
• Humans
• Male
• Middle Aged
• Septal Occluder Device