Explant of an infected four-vessel fenestrated and bilateral iliac branch stent graft in a patient of Jehovah's Witness faith
Infection of fenestrated-branched stent graft is an uncommon but potentially catastrophic complication. The technical challenge of total stent graft explant and reconstruction of the renal-mesenteric arteries is associated with high mortality and morbidity. Among patients of Jehovah Witness faith, r...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-08-01
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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/S246842872500098X |
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| author | Carlotta Bugna, MD Lucas Ruiter Kanamori, MD Priscila Suguita, MD Ezra Koh, MD Thanila A. Macedo, MD Gustavo S. Oderich, MD |
| author_facet | Carlotta Bugna, MD Lucas Ruiter Kanamori, MD Priscila Suguita, MD Ezra Koh, MD Thanila A. Macedo, MD Gustavo S. Oderich, MD |
| author_sort | Carlotta Bugna, MD |
| collection | DOAJ |
| description | Infection of fenestrated-branched stent graft is an uncommon but potentially catastrophic complication. The technical challenge of total stent graft explant and reconstruction of the renal-mesenteric arteries is associated with high mortality and morbidity. Among patients of Jehovah Witness faith, refusal to accept blood transfusion adds to the risk given the invasiveness of these operations. We report a Jehovah's Witness faith patient with a recurrent infection of a four-vessel fenestrated and bilateral iliac branch stent graft treated in two stages by axillofemoral bypass, followed by extra-anatomical reconstruction of the mesenteric, renal, and left internal iliac arteries and total stent graft explant and aortic stump closure. |
| format | Article |
| id | doaj-art-1b90e79d4c294546a7e2f99e91e3cd4b |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-1b90e79d4c294546a7e2f99e91e3cd4b2025-08-20T03:35:44ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-08-0111410181610.1016/j.jvscit.2025.101816Explant of an infected four-vessel fenestrated and bilateral iliac branch stent graft in a patient of Jehovah's Witness faithCarlotta Bugna, MD0Lucas Ruiter Kanamori, MD1Priscila Suguita, MD2Ezra Koh, MD3Thanila A. Macedo, MD4Gustavo S. Oderich, MD5Department of Vascular Surgery, Vita-Salute University, IRCCS San Raffaele Scientific Institute, Milan, ItalyAdvanced Endovascular Aortic Research Program, Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TXDepartment of Cardiothoracic & Vascular Surgery, The University of Texas Health Science Center at Houston, Houston, TXAdvanced Endovascular Aortic Research Program, Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TXAdvanced Endovascular Aortic Research Program, Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TXAdvanced Endovascular Aortic Research Program, Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX; Correspondence: Gustavo S. Oderich, MD, Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Center for Aortic Surgery, Baylor College of Medicine, 7200 Cambridge St, Ste 2B, Houston, TX 77030Infection of fenestrated-branched stent graft is an uncommon but potentially catastrophic complication. The technical challenge of total stent graft explant and reconstruction of the renal-mesenteric arteries is associated with high mortality and morbidity. Among patients of Jehovah Witness faith, refusal to accept blood transfusion adds to the risk given the invasiveness of these operations. We report a Jehovah's Witness faith patient with a recurrent infection of a four-vessel fenestrated and bilateral iliac branch stent graft treated in two stages by axillofemoral bypass, followed by extra-anatomical reconstruction of the mesenteric, renal, and left internal iliac arteries and total stent graft explant and aortic stump closure.http://www.sciencedirect.com/science/article/pii/S246842872500098XFenestrated endovascular aneurysm repair (F-EVAR)Stent graft infectionJehovah's WitnessAortic explantationExtra-anatomical bypass |
| spellingShingle | Carlotta Bugna, MD Lucas Ruiter Kanamori, MD Priscila Suguita, MD Ezra Koh, MD Thanila A. Macedo, MD Gustavo S. Oderich, MD Explant of an infected four-vessel fenestrated and bilateral iliac branch stent graft in a patient of Jehovah's Witness faith Journal of Vascular Surgery Cases and Innovative Techniques Fenestrated endovascular aneurysm repair (F-EVAR) Stent graft infection Jehovah's Witness Aortic explantation Extra-anatomical bypass |
| title | Explant of an infected four-vessel fenestrated and bilateral iliac branch stent graft in a patient of Jehovah's Witness faith |
| title_full | Explant of an infected four-vessel fenestrated and bilateral iliac branch stent graft in a patient of Jehovah's Witness faith |
| title_fullStr | Explant of an infected four-vessel fenestrated and bilateral iliac branch stent graft in a patient of Jehovah's Witness faith |
| title_full_unstemmed | Explant of an infected four-vessel fenestrated and bilateral iliac branch stent graft in a patient of Jehovah's Witness faith |
| title_short | Explant of an infected four-vessel fenestrated and bilateral iliac branch stent graft in a patient of Jehovah's Witness faith |
| title_sort | explant of an infected four vessel fenestrated and bilateral iliac branch stent graft in a patient of jehovah s witness faith |
| topic | Fenestrated endovascular aneurysm repair (F-EVAR) Stent graft infection Jehovah's Witness Aortic explantation Extra-anatomical bypass |
| url | http://www.sciencedirect.com/science/article/pii/S246842872500098X |
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