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Abstract

Purpose:

This technical note presents a case of a patient with a failed Nellix device (Endologix, Irvine, Calif) who was not deemed fit for open conversion. Our planned approach for repair involved an endovascular procedure utilizing a custom-made branched device.

Technique:

An endovascular repair was performed via a custom-made four outer branched device in conjunction with a custom-made bifurcated graft featuring inverted limbs (Cook Inc., Bloomington, Ind). All branches were connected to the target vessel with Gore Viabahn VBX balloon-expandable covered stents (Gore & Associates Inc.).

Conclusion:

Endovascular conversion with branched endovascular repair in a patient not deemed fit for open surgery was successfully performed, thereby reducing the risk of a high morbid and mortal procedure.

Clinical Impact

Novel useful treatment solution of failed EVAR with Nellix device.

Keywords

thoracoabdominal aneurysm Nellix EVAS endoleak endovascular conversion Endovascular Aneurysm Sealing rupture

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References

Endologix Inc. Nellix polymer sheet (MM1250 Rev 01). https://endologix.com/wp-content/uploads/2016/09/MM1250Rev01-Nellix-Polymer-Sheet-Disposable-_04-20.pdf.

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Endovascular Conversion of a Failed Nellix AAA-Repair by a Custom-Made Branched Device