PMID- 31093417
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201001
IS  - 2090-6986 (Print)
IS  - 2090-6994 (Electronic)
IS  - 2090-6994 (Linking)
VI  - 2019
DP  - 2019
TI  - An Off-Label Use of a Unibody Aortic Stent-Graft System for the Treatment of 
      Infrarenal Abdominal Aortic Dissections.
PG  - 6853135
LID - 10.1155/2019/6853135 [doi]
LID - 6853135
AB  - Infrarenal abdominal aortic dissections (IAAD) are exceedingly rare, accounting 
      for 1-4% of all aortic dissections. The evidence is scarce on how to best manage 
      IAAD when they become symptomatic. Two main interventional approaches exist, open 
      surgery and the endovascular approach. Conventional stent-graft systems make it 
      difficult to treat nonaneurysmal aortic disease due to limb competition in a 
      narrow distal aorta. Thus, we present a novel use of the Endologix Anatomical 
      Fixation 2 (AFX2) Abdominal Aortic Aneurysm (AAA) endograft system for the 
      treatment of four patients with IAAD. We also highlight an individual case study 
      that was treated with an alternative endovascular approach and the complications 
      that followed. This was to highlight and compare our successful experience with 
      Endologix AFX2 AAA endograft system. There were multiple benefits for choosing 
      this stent-graft; however the main advantage is its suitability in the narrow 
      distal aorta. Our aim was to highlight an alternative endovascular approach for 
      the successful treatment of a rare, challenging, and potentially fatal pathology.
FAU - Faraj, Joseph
AU  - Faraj J
AUID- ORCID: 0000-0002-7912-9952
AD  - Department of Vascular Surgery, Royal Perth Hospital, Perth, Western Australia, 
      Australia.
FAU - Tan, Rebekah L W
AU  - Tan RLW
AD  - Department of Vascular Surgery, Hollywood Private Hospital, Western Australia, 
      Australia.
FAU - Mwipatayi, Bibombe P
AU  - Mwipatayi BP
AD  - Department of Vascular Surgery, Royal Perth Hospital, Perth, Western Australia, 
      Australia.
AD  - Department of Vascular Surgery, Hollywood Private Hospital, Western Australia, 
      Australia.
AD  - School of Medicine, University of Western Australia, Perth, Western Australia, 
      Australia.
AD  - Perth Institute of Vascular Surgery, Perth, Western Australia, Australia.
LA  - eng
PT  - Case Reports
DEP - 20190408
PL  - United States
TA  - Case Rep Vasc Med
JT  - Case reports in vascular medicine
JID - 101585357
PMC - PMC6476008
EDAT- 2019/05/17 06:00
MHDA- 2019/05/17 06:01
PMCR- 2019/04/08
CRDT- 2019/05/17 06:00
PHST- 2019/03/08 00:00 [received]
PHST- 2019/03/24 00:00 [accepted]
PHST- 2019/05/17 06:00 [entrez]
PHST- 2019/05/17 06:00 [pubmed]
PHST- 2019/05/17 06:01 [medline]
PHST- 2019/04/08 00:00 [pmc-release]
AID - 10.1155/2019/6853135 [doi]
PST - epublish
SO  - Case Rep Vasc Med. 2019 Apr 8;2019:6853135. doi: 10.1155/2019/6853135. 
      eCollection 2019.