Endovascular aortic repair endograft limb misdeployment salvaged with laser fenestration
Endovascular aortic aneurysm repair (EVAR) offers a minimally invasive treatment approach for abdominal aortic aneurysms (AAAs). Iliac limb misdeployment outside of the gate is a rare complication that traditionally requires open conversion. We describe two cases of limb misdeployment salvaged with...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-10-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S246842872500156X |
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| author | Mira T. Tanenbaum, MD Andrea E. Klein, MD Jacqueline L. Babb, MD Mirza S. Baig, MD Melissa L. Kirkwood, MD Carlos H. Timaran, MD |
| author_facet | Mira T. Tanenbaum, MD Andrea E. Klein, MD Jacqueline L. Babb, MD Mirza S. Baig, MD Melissa L. Kirkwood, MD Carlos H. Timaran, MD |
| author_sort | Mira T. Tanenbaum, MD |
| collection | DOAJ |
| description | Endovascular aortic aneurysm repair (EVAR) offers a minimally invasive treatment approach for abdominal aortic aneurysms (AAAs). Iliac limb misdeployment outside of the gate is a rare complication that traditionally requires open conversion. We describe two cases of limb misdeployment salvaged with in situ laser fenestration (ISLF). An ISLF was created through the misplaced iliac limb into the aneurysm sac, allowing for subsequent gate cannulation. A new limb was then deployed from the gate through the fenestration into the iliac artery. These cases demonstrate that ISLF through a misdeployed EVAR limb is a novel bail-out endovascular technique that circumvents open surgery and restores the aortoiliac anatomic continuity of the repair. |
| format | Article |
| id | doaj-art-5487d7d5d4ae4aa08ebdf4a13502a0c4 |
| 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-5487d7d5d4ae4aa08ebdf4a13502a0c42025-08-20T03:49:54ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-10-0111510187410.1016/j.jvscit.2025.101874Endovascular aortic repair endograft limb misdeployment salvaged with laser fenestrationMira T. Tanenbaum, MD0Andrea E. Klein, MD1Jacqueline L. Babb, MD2Mirza S. Baig, MD3Melissa L. Kirkwood, MD4Carlos H. Timaran, MD5Department of Surgery, George Washington University Hospital, Washington, DCDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TXOrlando Health Heart and Vascular Institute, Orlando, FLDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TXDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TXDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX; Correspondence: Carlos H. Timaran, MD, Department of Surgery, University of Texas Southwestern Medical Center, 5959 Harry Hines Blvd, POB 1, Ste 620, Dallas, TX 75390-9157Endovascular aortic aneurysm repair (EVAR) offers a minimally invasive treatment approach for abdominal aortic aneurysms (AAAs). Iliac limb misdeployment outside of the gate is a rare complication that traditionally requires open conversion. We describe two cases of limb misdeployment salvaged with in situ laser fenestration (ISLF). An ISLF was created through the misplaced iliac limb into the aneurysm sac, allowing for subsequent gate cannulation. A new limb was then deployed from the gate through the fenestration into the iliac artery. These cases demonstrate that ISLF through a misdeployed EVAR limb is a novel bail-out endovascular technique that circumvents open surgery and restores the aortoiliac anatomic continuity of the repair.http://www.sciencedirect.com/science/article/pii/S246842872500156XAbdominal aortaEVARIliac arteryLaser fenestration |
| spellingShingle | Mira T. Tanenbaum, MD Andrea E. Klein, MD Jacqueline L. Babb, MD Mirza S. Baig, MD Melissa L. Kirkwood, MD Carlos H. Timaran, MD Endovascular aortic repair endograft limb misdeployment salvaged with laser fenestration Journal of Vascular Surgery Cases and Innovative Techniques Abdominal aorta EVAR Iliac artery Laser fenestration |
| title | Endovascular aortic repair endograft limb misdeployment salvaged with laser fenestration |
| title_full | Endovascular aortic repair endograft limb misdeployment salvaged with laser fenestration |
| title_fullStr | Endovascular aortic repair endograft limb misdeployment salvaged with laser fenestration |
| title_full_unstemmed | Endovascular aortic repair endograft limb misdeployment salvaged with laser fenestration |
| title_short | Endovascular aortic repair endograft limb misdeployment salvaged with laser fenestration |
| title_sort | endovascular aortic repair endograft limb misdeployment salvaged with laser fenestration |
| topic | Abdominal aorta EVAR Iliac artery Laser fenestration |
| url | http://www.sciencedirect.com/science/article/pii/S246842872500156X |
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