A Case of Re-EVAR with a Zenith Device after Custom-made Stent Graft Placement for Abdominal Aortic Aneurysm

Abstract

74-year-old woman had undergone endovascular aneurysm repair with a homemade stent graft at age 71 because of obesity. Follow-up computed tomography 31 months after this first operation showed a type I endoleak due to stent graft migration. A Zenith device, with a barb at the edge of proximal bare stent was chosen for re-EVAR. The patient was discharged with good course, withno evidence of endoleak. The reason for stent graft migration was thought to be that the custom-made stent graft had no device such as a barb or nitinol anchor to secure it in place.
(Jpn J Vasc Surg 2010;19:561-564)