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Late Surgical Conversion after Thoracic Endograft Failure Due to Fracture of the Longitudinal Support Wire
Purpose: To report complications from a thoracic endograft wire fracture and early experience with elective conversion after thoracic endografting. Case Report: A 43-year-old man underwent urgent endovascular repair of a symptomatic post-traumatic thoracic aneurysm in 1999. The patient had been invo...
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| Published in: | Journal of endovascular therapy 2005-02, Vol.12 (1), p.98-102 |
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| Main Authors: | , , , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c341t-53ea64de4824d7065c86a977567c044b88abb17c381b452f1921da98e6800fa83 |
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| cites | cdi_FETCH-LOGICAL-c341t-53ea64de4824d7065c86a977567c044b88abb17c381b452f1921da98e6800fa83 |
| container_end_page | 102 |
| container_issue | 1 |
| container_start_page | 98 |
| container_title | Journal of endovascular therapy |
| container_volume | 12 |
| creator | Böckler, Dittmar von Tengg-Kobligk, Hendrik Schumacher, Hardy Ockert, Stefan Schwarzbach, Matthias Allenberg, Jens-Rainer |
| description | Purpose:
To report complications from a thoracic endograft wire fracture and early experience with elective conversion after thoracic endografting.
Case Report:
A 43-year-old man underwent urgent endovascular repair of a symptomatic post-traumatic thoracic aneurysm in 1999. The patient had been involved in a car accident 14 years before. He developed clinical and radiological signs of graft infection 46 months after stent-graft implantation. Multidetector computed tomography confirmed a fracture of the longitudinal support wire in the Excluder thoracic stent-graft. Additionally, radiological signs of suspected endograft infection were described. Due to concerns over a potential chronic infection, the stent-graft was successfully excised, and a polyester graft was implanted 50 months after primary endovascular repair.
Conclusions:
Recognition or strong suspicion of endograft infection requires conversion with removal of the device. Long-term follow-up after endografting is necessary to assess material fatigue that undermines the durability of these implants. |
| doi_str_mv | 10.1583/04-1328.1 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67392450</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1583_04-1328.1</sage_id><sourcerecordid>67392450</sourcerecordid><originalsourceid>FETCH-LOGICAL-c341t-53ea64de4824d7065c86a977567c044b88abb17c381b452f1921da98e6800fa83</originalsourceid><addsrcrecordid>eNplkE1rGzEQhkVoSVInh_yBIHoI9LCJRitptcfixG3A0EMScly02llHZr1y9FHIv88aGwztZT4f3hleQq6A3YLU5R0TBZRc38IJOQcpZAFSsi-7mqtCMa7PyLcY14xx4ACn5Ayk0iWv9DlZL01C-pTDylkz0Lkf_2KIzo_U9AkDfX7zwVhn6cPY-VWYhnRh3JAD0vuMNHm6mPZp1_uepjekSz-uXMqdGye9p7zd-pDoqwt4Qb72Zoh4ecgz8rJ4eJ7_LpZ_fj3Ofy4LWwpIhSzRKNGh0Fx0FVPSamXqqpKqskyIVmvTtlDZUkMrJO-h5tCZWqPSjPVGlzNys9fdBv-eMaZm46LFYTAj-hwbVZU1F5JN4Pd_wLXPYXo7NpNNrIYaxAT92EM2-BgD9s02uI0JHw2wZud-w0Szc38KM3J9EMztBrsjebD7-Fo0Kzxe-1_pEyLtibA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>211091914</pqid></control><display><type>article</type><title>Late Surgical Conversion after Thoracic Endograft Failure Due to Fracture of the Longitudinal Support Wire</title><source>SAGE</source><creator>Böckler, Dittmar ; von Tengg-Kobligk, Hendrik ; Schumacher, Hardy ; Ockert, Stefan ; Schwarzbach, Matthias ; Allenberg, Jens-Rainer</creator><creatorcontrib>Böckler, Dittmar ; von Tengg-Kobligk, Hendrik ; Schumacher, Hardy ; Ockert, Stefan ; Schwarzbach, Matthias ; Allenberg, Jens-Rainer</creatorcontrib><description>Purpose:
To report complications from a thoracic endograft wire fracture and early experience with elective conversion after thoracic endografting.
Case Report:
A 43-year-old man underwent urgent endovascular repair of a symptomatic post-traumatic thoracic aneurysm in 1999. The patient had been involved in a car accident 14 years before. He developed clinical and radiological signs of graft infection 46 months after stent-graft implantation. Multidetector computed tomography confirmed a fracture of the longitudinal support wire in the Excluder thoracic stent-graft. Additionally, radiological signs of suspected endograft infection were described. Due to concerns over a potential chronic infection, the stent-graft was successfully excised, and a polyester graft was implanted 50 months after primary endovascular repair.
Conclusions:
Recognition or strong suspicion of endograft infection requires conversion with removal of the device. Long-term follow-up after endografting is necessary to assess material fatigue that undermines the durability of these implants.</description><identifier>ISSN: 1526-6028</identifier><identifier>EISSN: 1545-1550</identifier><identifier>DOI: 10.1583/04-1328.1</identifier><identifier>PMID: 15683278</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Angiography - methods ; Aortic Aneurysm, Thoracic - diagnostic imaging ; Aortic Aneurysm, Thoracic - etiology ; Aortic Aneurysm, Thoracic - therapy ; Blood Vessel Prosthesis Implantation ; Chronic Disease ; Follow-Up Studies ; Humans ; Male ; Prosthesis Failure ; Prosthesis-Related Infections - diagnostic imaging ; Prosthesis-Related Infections - surgery ; Risk Assessment ; Stents ; Thoracic Injuries - complications ; Time Factors ; Tomography, X-Ray Computed ; Treatment Outcome</subject><ispartof>Journal of endovascular therapy, 2005-02, Vol.12 (1), p.98-102</ispartof><rights>2005 SAGE Publications</rights><rights>Copyright Allen Press, Inc. Feb 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c341t-53ea64de4824d7065c86a977567c044b88abb17c381b452f1921da98e6800fa83</citedby><cites>FETCH-LOGICAL-c341t-53ea64de4824d7065c86a977567c044b88abb17c381b452f1921da98e6800fa83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,79364</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15683278$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Böckler, Dittmar</creatorcontrib><creatorcontrib>von Tengg-Kobligk, Hendrik</creatorcontrib><creatorcontrib>Schumacher, Hardy</creatorcontrib><creatorcontrib>Ockert, Stefan</creatorcontrib><creatorcontrib>Schwarzbach, Matthias</creatorcontrib><creatorcontrib>Allenberg, Jens-Rainer</creatorcontrib><title>Late Surgical Conversion after Thoracic Endograft Failure Due to Fracture of the Longitudinal Support Wire</title><title>Journal of endovascular therapy</title><addtitle>J Endovasc Ther</addtitle><description>Purpose:
To report complications from a thoracic endograft wire fracture and early experience with elective conversion after thoracic endografting.
Case Report:
A 43-year-old man underwent urgent endovascular repair of a symptomatic post-traumatic thoracic aneurysm in 1999. The patient had been involved in a car accident 14 years before. He developed clinical and radiological signs of graft infection 46 months after stent-graft implantation. Multidetector computed tomography confirmed a fracture of the longitudinal support wire in the Excluder thoracic stent-graft. Additionally, radiological signs of suspected endograft infection were described. Due to concerns over a potential chronic infection, the stent-graft was successfully excised, and a polyester graft was implanted 50 months after primary endovascular repair.
Conclusions:
Recognition or strong suspicion of endograft infection requires conversion with removal of the device. Long-term follow-up after endografting is necessary to assess material fatigue that undermines the durability of these implants.</description><subject>Adult</subject><subject>Angiography - methods</subject><subject>Aortic Aneurysm, Thoracic - diagnostic imaging</subject><subject>Aortic Aneurysm, Thoracic - etiology</subject><subject>Aortic Aneurysm, Thoracic - therapy</subject><subject>Blood Vessel Prosthesis Implantation</subject><subject>Chronic Disease</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Prosthesis Failure</subject><subject>Prosthesis-Related Infections - diagnostic imaging</subject><subject>Prosthesis-Related Infections - surgery</subject><subject>Risk Assessment</subject><subject>Stents</subject><subject>Thoracic Injuries - complications</subject><subject>Time Factors</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>1526-6028</issn><issn>1545-1550</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><recordid>eNplkE1rGzEQhkVoSVInh_yBIHoI9LCJRitptcfixG3A0EMScly02llHZr1y9FHIv88aGwztZT4f3hleQq6A3YLU5R0TBZRc38IJOQcpZAFSsi-7mqtCMa7PyLcY14xx4ACn5Ayk0iWv9DlZL01C-pTDylkz0Lkf_2KIzo_U9AkDfX7zwVhn6cPY-VWYhnRh3JAD0vuMNHm6mPZp1_uepjekSz-uXMqdGye9p7zd-pDoqwt4Qb72Zoh4ecgz8rJ4eJ7_LpZ_fj3Ofy4LWwpIhSzRKNGh0Fx0FVPSamXqqpKqskyIVmvTtlDZUkMrJO-h5tCZWqPSjPVGlzNys9fdBv-eMaZm46LFYTAj-hwbVZU1F5JN4Pd_wLXPYXo7NpNNrIYaxAT92EM2-BgD9s02uI0JHw2wZud-w0Szc38KM3J9EMztBrsjebD7-Fo0Kzxe-1_pEyLtibA</recordid><startdate>200502</startdate><enddate>200502</enddate><creator>Böckler, Dittmar</creator><creator>von Tengg-Kobligk, Hendrik</creator><creator>Schumacher, Hardy</creator><creator>Ockert, Stefan</creator><creator>Schwarzbach, Matthias</creator><creator>Allenberg, Jens-Rainer</creator><general>SAGE Publications</general><general>Allen Press Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200502</creationdate><title>Late Surgical Conversion after Thoracic Endograft Failure Due to Fracture of the Longitudinal Support Wire</title><author>Böckler, Dittmar ; von Tengg-Kobligk, Hendrik ; Schumacher, Hardy ; Ockert, Stefan ; Schwarzbach, Matthias ; Allenberg, Jens-Rainer</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c341t-53ea64de4824d7065c86a977567c044b88abb17c381b452f1921da98e6800fa83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Angiography - methods</topic><topic>Aortic Aneurysm, Thoracic - diagnostic imaging</topic><topic>Aortic Aneurysm, Thoracic - etiology</topic><topic>Aortic Aneurysm, Thoracic - therapy</topic><topic>Blood Vessel Prosthesis Implantation</topic><topic>Chronic Disease</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Prosthesis Failure</topic><topic>Prosthesis-Related Infections - diagnostic imaging</topic><topic>Prosthesis-Related Infections - surgery</topic><topic>Risk Assessment</topic><topic>Stents</topic><topic>Thoracic Injuries - complications</topic><topic>Time Factors</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Böckler, Dittmar</creatorcontrib><creatorcontrib>von Tengg-Kobligk, Hendrik</creatorcontrib><creatorcontrib>Schumacher, Hardy</creatorcontrib><creatorcontrib>Ockert, Stefan</creatorcontrib><creatorcontrib>Schwarzbach, Matthias</creatorcontrib><creatorcontrib>Allenberg, Jens-Rainer</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of endovascular therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Böckler, Dittmar</au><au>von Tengg-Kobligk, Hendrik</au><au>Schumacher, Hardy</au><au>Ockert, Stefan</au><au>Schwarzbach, Matthias</au><au>Allenberg, Jens-Rainer</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Late Surgical Conversion after Thoracic Endograft Failure Due to Fracture of the Longitudinal Support Wire</atitle><jtitle>Journal of endovascular therapy</jtitle><addtitle>J Endovasc Ther</addtitle><date>2005-02</date><risdate>2005</risdate><volume>12</volume><issue>1</issue><spage>98</spage><epage>102</epage><pages>98-102</pages><issn>1526-6028</issn><eissn>1545-1550</eissn><abstract>Purpose:
To report complications from a thoracic endograft wire fracture and early experience with elective conversion after thoracic endografting.
Case Report:
A 43-year-old man underwent urgent endovascular repair of a symptomatic post-traumatic thoracic aneurysm in 1999. The patient had been involved in a car accident 14 years before. He developed clinical and radiological signs of graft infection 46 months after stent-graft implantation. Multidetector computed tomography confirmed a fracture of the longitudinal support wire in the Excluder thoracic stent-graft. Additionally, radiological signs of suspected endograft infection were described. Due to concerns over a potential chronic infection, the stent-graft was successfully excised, and a polyester graft was implanted 50 months after primary endovascular repair.
Conclusions:
Recognition or strong suspicion of endograft infection requires conversion with removal of the device. Long-term follow-up after endografting is necessary to assess material fatigue that undermines the durability of these implants.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>15683278</pmid><doi>10.1583/04-1328.1</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1526-6028 |
| ispartof | Journal of endovascular therapy, 2005-02, Vol.12 (1), p.98-102 |
| issn | 1526-6028 1545-1550 |
| language | eng |
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| source | SAGE |
| subjects | Adult Angiography - methods Aortic Aneurysm, Thoracic - diagnostic imaging Aortic Aneurysm, Thoracic - etiology Aortic Aneurysm, Thoracic - therapy Blood Vessel Prosthesis Implantation Chronic Disease Follow-Up Studies Humans Male Prosthesis Failure Prosthesis-Related Infections - diagnostic imaging Prosthesis-Related Infections - surgery Risk Assessment Stents Thoracic Injuries - complications Time Factors Tomography, X-Ray Computed Treatment Outcome |
| title | Late Surgical Conversion after Thoracic Endograft Failure Due to Fracture of the Longitudinal Support Wire |
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