A Case of Early Limb Stenosis after Endovascular Abdominal Aneurysm Repair with the Endurant Stent Graft System

Tsunehisa Yamamoto	Katsuhiko Oka	Osamu Sakai
Hidetake Kawajiri	Sachiko Yamazaki	Taiji Watanabe
Keiichi Kanda	Hitoshi Yaku

（Department of Cardiovascular Surgery＊, and Department of Minimally Invasive Cardiovascular Surgery＊＊, Kyoto Prefectural University of Medicine, Kyoto, Japan）

An 81-year-old man who had a saccular abdominal aortic aneurysm（AAA）with a narrow terminal aorta underwent endovascular aortic aneurysm repair（EVAR）with the Medtronic Endurant●R stent graft system. After 4 days, computed tomography（CT）showed stenosis of the stent graft left limb, which was pressed flat against the right limb at the narrow terminal aorta. We performed re-intervention to dilate the narrow terminal aorta and bilateral limbs with kissing stenting using Express Vascular LD●R（Boston Scientific). After operation his ankle brachial pressure index rose from 0.88 to 0.99 and there was no evidence of stenotic limbs at CT image. We need to be careful about the stenotic limb after EVAR with Medtronic Endurant stentgraft system for AAA with a narrow terminal aorta.　

 

Jpn. J. Cardiovasc. Surg. 44:283-287（2015）

Keywords：EVAR;limb stenosis;narrow terminal aorta;kissing stent