Endovascular Aneurysm Sealing for Management of Aortic Occlusive Disease

摘要

Introduction Endovascular management of aortic occlusive disease is an alternative to open surgery. This case describes the use of a Nellix graft to treat infrarenal aortic stenosis, outwith the graft indication for use. Case report A 71 year old man with multiple comorbidities, presented with bilateral buttock claudication. A computed tomography angiogram (CTA) showed significant infrarenal aortic stenosis. Under local anaesthetic, using a percutaneous approach, Nellix grafts were inserted. The patient was discharged within 24 hours. His claudication improved significantly. A 6 month follow-up CT showed stent patency. Conclusion Although further research is necessary, this case suggests that Nellix is safe and effective for primary stenting of the stenotic infrarenal aorta. Highlights ? Aortobifemoral bypass has been considered the gold standard for aortic occlusive disease. ? Endovascular treatment of aortic occlusive disease has evolved rapidly in the last 20 years. ? Covered stent and bare metal stent are commonly used in management of isolated aortic occlusive disease. ? In this case report, the Nellix ? endovascular aneurysm sealing (EVAS) system was used as a novel technique for managing aortic occlusive disease.