Neck Remodeling Using the Amplatzer Vascular Plug to Facilitate Endovascular Repair of a Contained Abdominal Aortic Rupture

作者：Gandini Roberto; Pampana Enrico; Stefanini Matte; Spano Sergio; Martinelli Fabio; Citraro Daniele^*; Simonetti Giovanni

来源：Journal of Endovascular Therapy, 2013, 20(1): 20-25.

DOI：10.1583/12-3978.1

• abdominal aortic aneurysm
• endovascular aneurysm repair
• Amplatzer Vascular Plug
• renal transplant
• aneurysm rupture
• short neck
• remodeling

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. J Endovasc Thar. 2013;20:20-25

• 出版日期2013-2