Beschreibung:
<jats:p>[b]Background:[/b] The aim of our study was to present an innovative endovascular technique – the Aptus™ Heli-FX™ EndoAnchor™ system com bined with the Endurant Stent Graft cuff used as a method of choice for the patient in a very poor general condition with symptomatic abdominal aneurysm and a post-EVAR type IA endoleak.[b]Case study: [/b]An 85-year-old male patient, was operated on in March 2016 with endovascular aneurysm repair (EVAR) of a 9.3 cm in diameter ruptured abdominal aneurysm (RAA), accompanied by disturbance to the coagulation profile (prolonged INR of 3.3 because of anticoagulant treatment with Rivaroxaban due to atrial fibrillation). 9 months later, he developed a severe abdominal pain and was urgently referred to the Vascular Surgery Department, at the John Paul II Hospital, Kraków. The Angio-CT xamination revealed the type IA and II endoleaks and a recurrence of the rupture symptoms. He was successfully operated on using an innovative endovascular repair system, the Aptus™ Heli-FX™ ndoAnchor™ system with a combination of other endovascular procedures, such as Endurant Stent Graft cuff implantation. [b]Conclusions:[/b]The innovative endovascular repair system, Aptus™ Heli-FX™ EndoAnchor™ together with the Endurant Stent Graft cuff was successfully used in the treatment of the patient. This technique prevented him from developing serious complications or even death and gave him a much better quality of life in comparison with open surgery repair.
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