Endovascular Covered Stent Repair of an Intercostal Artery Patch Dehiscence From a Descending Thoracic Aortic Aneurysm Graft

Abstract

This communication describes the management of a surgical complication using balloon-expandable covered stents in contrast to either conventional surgery or self-expanding stent-grafts. Transesophageal ultrasound monitoring delineated the suture line leak, identified the position of the stent-grafts, and accurately demonstrated closure of the defect.

Parallel intercostal artery stenting and exclusion of symptomatic bucket-handle intercostal patch aneurysm

“…Most techniques involve coverage of the intercostal arteries in their entirety with TEVAR or fenestrated-branched endovascular aortic repair after open TAAA with either custom-made or physician-modified devices. 3 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 Intercostal stenting is described during treatment of true intercostal aneurysms or pseudoaneurysms, often for rupture. 13 , 14 , 15 Intercostal preservation has also been demonstrated during index fenestrated-branched endovascular aortic repair with dedicated side stents or scallops.…”