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A rare complication of a retained wire during endovascular abdominal aortic aneurysm repair.

Abstract：

:We present a case of a high-risk 76-year-old man who was electively admitted for repair of a large infrarenal abdominal aortic aneurysm. After placement of the main body of the bifurcated graft, the contralateral guidewire became entrapped at the level of suprarenal fixation. Multiple endovascular maneuvers were attempted to remove this wire from the femoral approach, but all were unsuccessful. The wire was then transected at the level of the common femoral artery and anchored to the arterial wall with 1 small monofilament suture. A short bare stent was also used to secure this wire to the inner wall of the external iliac artery. However, the proximal end of the wire that extended freely up to the mid-descending aorta was left undisturbed. On postoperative day 2, an attempt at snaring the proximal end of the wire via a brachial approach also failed to displace the trapped wire. At 1-year of follow-up, the patient has been asymptomatic with no obvious sequelae, such as thromboembolism or aortic dissection, and there is no evidence of damage to the aorta or graft on computed tomographic imaging. To our knowledge, this complication has not been previously reported.

journal_name

Ann Vasc Surg

journal_title

Annals of vascular surgery

authors

DerDerian T,Ascher E,Hingorani A,Jimenez R

doi

10.1016/j.avsg.2012.11.007

subject

Has Abstract

pub_date

2013-11-01 00:00:00

pages

1183.e11-5

issue

8

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(13)00218-5

journal_volume

27

pub_type

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