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  • Title: [Aortic stent migration: a rare complication after endovascular repair].
    Author: Kaouel K, Ben Hammamia M, Ben Mrad M, Laaribi J, Ben Omrane S, Elleuch N, Denguir R, Kalfat T, Khayati A.
    Journal: J Mal Vasc; 2014 May; 39(3):216-9. PubMed ID: 24709281.
    Abstract:
    Migration of an aortic stent is one of the most serious complications that can occur during follow-up after endovascular repair of an abdominal aortic aneurysm. We report the case of a 75-year-old man who underwent endovascular treatment for an infra-renal aortic aneurysm using an aorto-mono-iliac stent associated to a femoro-femoral bypass. The angiography performed at the end of procedure showed complete exclusion of the aneurysm. The postoperative course was uneventful. CT scans at 1, 6 and 12 months were normal. The CT scan at the 18th month showed a proximal migration of the stent, which was complicated by a type 1 endoleak and a stent disjunction with a type 3 endoleak. Revision surgery was indicated but the patient died from aneurismal rupture pending treatment. The migration of an aortic stent is a rare but serious complication of endovascular aneurysmal repair. Prevention requires a precise anatomical selection and adequate deployment of the stent graft.
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