Work

Endovascular aortic repair endograft limb misdeployment salvaged with laser fenestration

Year: 2025

Type: article

Abstract: Endovascular aortic aneurysm repair (EVAR) offers a minimally invasive treatment approach to abdominal aortic aneurysms (AAA). 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.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2025.101874

Authors: Mira T. Tanenbaum, Andrea E. Klein, Jacqueline L. Babb, Mirza S. Baig, Melissa L. Kirkwood, Carlos H. Timaran

Institutions: George Washington University Hospital, The University of Texas Southwestern Medical Center, Orlando Health

Language: English

Topic: Aortic aneurysm repair treatments

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250