A Case of Limb Stenosis after Endovascular Abdominal Aneurysm Repair with Powerlink^®

• Yamamoto Tsunehisa

  Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine

• Oka Katsuhiko

  Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine Department of Minimally Invasive Cardiovascular Surgery, Kyoto Prefectural University of Medicine

• Sakai Osamu

  Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine Department of Minimally Invasive Cardiovascular Surgery, Kyoto Prefectural University of Medicine

• Watanabe Taiji

  Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine

• Kanda Keiichi

  Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine

• Yaku Hitoshi

  Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine

Bibliographic Information

Other Title

• Powerlink 内挿1 年目に脚狭窄に伴う右下肢血流障害に対し血管内治療を要した1 例

Abstract

A 67-year-old man who had a saccular abdominal aortic aneurysm (AAA) with narrow terminal aorta was underwent endovascular aortic aneurysm repair (EVAR) by Endologix Powerlink^®. He complained ischemic right leg pain, one year after EVAR. The computed tomography showed stenosis of Powerlink^® right limb. The right limb was compressed by the left limb of Powerlink^® at narrow terminal aorta. We performed re-intervention to dilate narrow terminal aorta with Palmatz XL stent^® (Cordis) and bilateral limbs with kissing stenting of Express Vascular LD^® (Boston Scientific). After operation his ankle brachial pressure index arise from 0.66 to 1.19. Powerlink^® is said that hard to complicate limb stenosis even if narrow terminal aorta case due to its sit on the bifurcation of aorta system. Even through, careful observation is needed at quit narrow terminal aorta cases, which may happen not to sit on stentgraft main body at terminal aorta.

Journal

• Japanese Journal of Vascular Surgery

  Japanese Journal of Vascular Surgery 24 (1), 31-35, 2015

  JAPANESE SOCIETY FOR VASCULAR SURGERY

Keywords

• abdominal aortic aneurysm
• leg ischemia
• endovascular surgery

Details

• CRID: 1390282679391407616
• NII Article ID: 130004843172
• DOI: 10.11401/jsvs.14-00066
• ISSN: 1881767X
• ISSN: 09186778
• Web Site: https://search.jamas.or.jp/link/ui/2015171408
• Text Lang: ja
• Data Source:
  • JaLC
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed