Efficacy of the Plug Attachment Technique in a Patient Undergoing EVAR for Ruptured Abdominal Aortic Aneurysm

Masafumi Morita＊	Yasuyoshi Yoshii＊	Shuhei Azuma＊
Sho Mano＊

（Cardiovascular Surgery, Kyoto Katsura Hospital＊, Kyoto, Japan）

The objective of this case report was to evaluate the efficacy of the Plug Attachment Technique（PAT）with the Amplatzer Vascular Plug（AVP）in endovascular aneurysm repair（EVAR）in a case of ruptured abdominal aortic aneurysm（rAAA). An 84-year-old woman was taken by ambulance to our hospital. The enhanced CT scan showed an rAAA of 90 mm（Fitzgerald classification 3). The patient was immediately transferred to the operation room and treated with EVAR followed by the closing of the rupture cite using AVP, the Plug Attachment Technique（PAT). The total operation time was 158 min. The patient recovered uneventfully after the operation and was discharged 30 days after the onset. EVAR has been recognized as an efficient acute therapy in cases of rAAA internationally. However, in comparison with the conventional open surgery, we are often facing the critical complications after EVAR in case of rAAA, continuous bleeding thorough the rupture cite and acute compartment syndrome. Our Plug Attachment Technique（PAT）with the Amplatzer Vascular Plug（AVP）may not cause such complications and lead to improved results for EVAR in case of rAAA.

 

Jpn. J. Cardiovasc. Surg. 46:267-271（2017）

Keywords：Amplatzer Vascular Plug;Plug Attachment Technique