2015 Volume 24 Issue 1 Pages 31-35
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.
