%0 Journal Article
%T Secondary Endovascular Aneurysm (EVAS) Sealing in Combination With Chimney Grafts to Treat Failed Chimney EVAS
%A Aleksandra C. Zoethout
%A Jan-Willem H. P. Lardenoije
%A Lennart van de Velde
%A Michel M. P. J. Reijnen
%J Journal of Endovascular Therapy
%@ 1545-1550
%D 2019
%R 10.1177/1526602819830420
%X Purpose: To describe a proximal extension of a failed chimney endovascular aneurysm sealing repair (chEVAS) using a chEVAS-in-chEVAS procedure in 2 cases with successful treatment outcome at 2-year follow-up. Case Report: Two patients with an infrarenal abdominal aortic aneurysm were treated with an elective chEVAS procedure with 1 chimney stent for a unilateral renal artery. At 18 and 24 months, respectively, both patients showed aneurysm growth with an associated decrease in proximal seal. Both patients were treated with a secondary chEVAS procedure, consisting of chimney stent-graft placement in the contralateral renal and the superior mesenteric arteries combined with proximal extension of the in situ chimney stent-graft and the Nellix stents. Two-year follow-up demonstrated successful aneurysm exclusion with a patent stent configuration. Conclusion: A type Ia endoleak after chEVAS can be successfully repaired with a chEVAS-in-chEVAS procedure
%K abdominal aortic aneurysm
%K chimney stent-grafts
%K endoleak
%K endovascular aneurysm sealing
%K renal artery
%K type Ia endoleak
%U https://journals.sagepub.com/doi/full/10.1177/1526602819830420