Postimplantation syndrome following stentless thoracic endovascular aortic repair of chronic aortic dissection
Postimplantation syndrome (PIS) is a noninfectious systemic inflammatory response that often follows endovascular aneurysm repair, historically presumed to be a reaction to implanted graft materials. Although well-documented with stent graft use, PIS in the absence of stent grafts remains poorly und...
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| Format: | Article |
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Elsevier
2025-10-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428725002151 |
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| author | Justin Blackman, MS Brandon McGuinness, MSc, MD Vamshi K. Kotha, MD |
| author_facet | Justin Blackman, MS Brandon McGuinness, MSc, MD Vamshi K. Kotha, MD |
| author_sort | Justin Blackman, MS |
| collection | DOAJ |
| description | Postimplantation syndrome (PIS) is a noninfectious systemic inflammatory response that often follows endovascular aneurysm repair, historically presumed to be a reaction to implanted graft materials. Although well-documented with stent graft use, PIS in the absence of stent grafts remains poorly understood. We present an instance of PIS after stentless thoracic endovascular aortic repair, which involves embolizing intimal tears with plugs and/or coils. This case highlights the need for further investigation into the pathophysiology of PIS. PIS can occur in the absence of a stent graft; prophylactic anti-inflammatory therapy may be warranted during endovascular interventions with large-volume aneurysms or false lumen thrombosis. |
| format | Article |
| id | doaj-art-0f68f75e2bdb4f3ebc26d16284008037 |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-0f68f75e2bdb4f3ebc26d162840080372025-08-23T04:48:48ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-10-0111510193310.1016/j.jvscit.2025.101933Postimplantation syndrome following stentless thoracic endovascular aortic repair of chronic aortic dissectionJustin Blackman, MS0Brandon McGuinness, MSc, MD1Vamshi K. Kotha, MD2Island Medical Program, Faculty of Medicine, University of British Columbia, University of Victoria, Victoria, British Columbia, Canada; Correspondence: Justin Blackman, MS, University of Victoria, PO Box 1700 STN CSC, Victoria, British Columbia, V8W 2Y2Island Medical Program, Faculty of Medicine, University of British Columbia, University of Victoria, Victoria, British Columbia, Canada; Department of Vascular Surgery, Vancouver Island Health Authority, Victoria, British Columbia, CanadaSouth Island Medical Imaging, Vancouver Island Health Authority, Victoria, British Columbia, CanadaPostimplantation syndrome (PIS) is a noninfectious systemic inflammatory response that often follows endovascular aneurysm repair, historically presumed to be a reaction to implanted graft materials. Although well-documented with stent graft use, PIS in the absence of stent grafts remains poorly understood. We present an instance of PIS after stentless thoracic endovascular aortic repair, which involves embolizing intimal tears with plugs and/or coils. This case highlights the need for further investigation into the pathophysiology of PIS. PIS can occur in the absence of a stent graft; prophylactic anti-inflammatory therapy may be warranted during endovascular interventions with large-volume aneurysms or false lumen thrombosis.http://www.sciencedirect.com/science/article/pii/S2468428725002151Postimplantation syndromeTEVAREndovascular repairAortic dissectionSystemic inflammatory responseCorticosteroids |
| spellingShingle | Justin Blackman, MS Brandon McGuinness, MSc, MD Vamshi K. Kotha, MD Postimplantation syndrome following stentless thoracic endovascular aortic repair of chronic aortic dissection Journal of Vascular Surgery Cases and Innovative Techniques Postimplantation syndrome TEVAR Endovascular repair Aortic dissection Systemic inflammatory response Corticosteroids |
| title | Postimplantation syndrome following stentless thoracic endovascular aortic repair of chronic aortic dissection |
| title_full | Postimplantation syndrome following stentless thoracic endovascular aortic repair of chronic aortic dissection |
| title_fullStr | Postimplantation syndrome following stentless thoracic endovascular aortic repair of chronic aortic dissection |
| title_full_unstemmed | Postimplantation syndrome following stentless thoracic endovascular aortic repair of chronic aortic dissection |
| title_short | Postimplantation syndrome following stentless thoracic endovascular aortic repair of chronic aortic dissection |
| title_sort | postimplantation syndrome following stentless thoracic endovascular aortic repair of chronic aortic dissection |
| topic | Postimplantation syndrome TEVAR Endovascular repair Aortic dissection Systemic inflammatory response Corticosteroids |
| url | http://www.sciencedirect.com/science/article/pii/S2468428725002151 |
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