Limb Occlusion after Endovascular Repair of Abdominal Aortic Aneurysm with Zenith AAA Endovascular Graft; Two Case Reports

Abstract

Two cases of limb occlusion after endovascular repair of abdominal aortic aneurysm (AAA) with Zenith AAA endovascular graft are reported. One case of AAA had a narrowed and calcified distal aorta. The left iliac leg was stenosed at the distal aorta, and was occluded 11 days after stent-grafting. The other case had a short aneurysmal length and mild-narrowed proximal neck. The proximal ends of the bilateral iliac legs were placed within the narrowed and long proximal neck. The right iliac leg was stenosed by the pendent left iliac leg, and was occluded one month after stent-grafting. Both cases were treated with thrombectomy and SMART stent placement.