Abstract
Abdominal aortic and left common iliac aneurysms in a 79-year-old man who had undergone Miles' operation for rectal carcinoma were treated with endovascular repair of an abdominal aortic aneurysm (EVAR), taking into consideration the age, surgical history, and wishes of the patient and his family. The Matsui-Kitamura stent-graft (MK-SG) was designed based on preoperative angiographic mapping. At EVAR, the right leg of the MK-SG was caught at the aortic bifurcation because of unexpected contraction of the MK-SG. To resolve the problem, the body of the MK-SG was dilated with a balloon, slightly lifted while being gradually shortened, and eventually successfully connected to the leg of the MK-SG. Made of nitinol mesh, the MK-SG is stable and flexible enough to make it one of the best stent-grafts for EVAR. A serious drawback, however, is the high contraction rate of the MK-SG itself. It is difficult to estimate the appropriate length of the stent-graft owing to unpredictable contraction. It is important to understand its characteristics and to carefully design and acquire sufficient skills in manipulating MK-SG.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
JC Parodi JC Palmaz HD Barone (1991) ArticleTitleTransfemoral intra-luminal graft implantation for treatment of abdominal aortic aneurysms ANN Vasc Surg 5 491–9 Occurrence Handle1837729 Occurrence Handle10.1007/BF02015271 Occurrence Handle1:STN:280:By2C38nks1E%3D
PL Harris SR Vallabhaneni P Desgranges J-P Becquemin C van Marrewijk RJF Laheij (2000) ArticleTitleIncidence and risk factors of late rupture, conversion, and death after endovascular repair of infrarenal aortic aneurysms: The EUROSTAR experience J Vasc Surg 32 739–49 Occurrence Handle11013038 Occurrence Handle10.1067/mva.2000.109990 Occurrence Handle1:STN:280:DC%2BD3M%2FjtFKruw%3D%3D
J Koizumi (2002) ArticleTitleAortic Stent-Graft (in Japanese) Jap J Intervent Radiol 17 111–21
T Matsuoka K Kitagawa S Tsuruoka T Yamahana Y Matsunaga Y Yoshino et al. (2000) ArticleTitleTwo cases of traumatic aortic injury treated by emergent stent-graft replacement (in Japanese) Jap J Intervent Radiol 15 358–62
J Sanada O Matsui N Terayama S Kobayashi T Minami M Kurozumi et al. (2003) ArticleTitleClinical application of a curved nitinol Stent-graft for thoracic aortic aneurysms J Endovasc Ther 10 66–70 Occurrence Handle12751933 Occurrence Handle10.1583/1545-1550(2003)010<0066:SROAML>2.0.CO;2
F Kawashima M Endo I Kosugi Y Matsumoto Y Abe H Sasaki et al. (2003) ArticleTitleMediastinal bronchial artery aneurysm treated with a Stent-Gragt Endovasc Ther 10 381–5 Occurrence Handle10.1583/1545-1550(2003)010<0381:MBAATW>2.0.CO;2
J Sanada O Matsui F Arakawa M Tawara T Endo H Ito et al. (2005) ArticleTitleEndovascular stent-grafting for infected iliac artery pseudoaneurysms Cardiovasc Intervent Radiol 28 83–6 Occurrence Handle15602635 Occurrence Handle10.1007/s00270-004-0005-9
J Sanada O Matsui H Ohtake K Kimura M Kusanagi N Terayama (2005) ArticleTitleDistal embolus protection with an intra-aortic filter during stent-graft repair of a severely atherosclerotic thoracic aortic aneurysm J Endovasc Ther 12 642–6 Occurrence Handle16363892 Occurrence Handle10.1583/05-1673R.1
U Blum G Voshage J Lammer F Beyerdorf D Toellner G Kretschmer et al. (1997) ArticleTitleEndoluminal stent-grafts for infrarenal abdominal aortic aneurysms N Engl J Med 336 13–20 Occurrence Handle8970935 Occurrence Handle10.1056/NEJM199701023360103 Occurrence Handle1:STN:280:ByiC383ksFM%3D
TAM Chuter RM Faruqi R Sawhney LM Reilly RB Kerlan CJ Canto et al. (2001) ArticleTitleEndoleak after endovascular repair of abdominal aortic aneurysm J Vasc Surg 34 98–105 Occurrence Handle11436081 Occurrence Handle10.1067/mva.2001.111487 Occurrence Handle1:STN:280:DC%2BD3MznvFegtA%3D%3D
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Kawawa, Y., Koizumi, J., Myojin, K. et al. Notes on the application of the Matsui-Kitamura stent-graft for endovascular repair of abdominal aortic aneurysm. Radiat Med 25, 76–79 (2007). https://doi.org/10.1007/s11604-006-0099-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11604-006-0099-x