Endovascular bailout for closure-device failure following percutaneous endovascular aneurysm repair: A selective approach
Nivedita Mitta, Umar Sadat, Angelos Karelis, Márton Berczeli, Björn Sonesson, Nuno V Dias · 2026
Read Endovascular bailout for closure-device failure following percutaneous endovascular aneurysm repair: A selective approach by Nivedita Mitta, Umar Sadat, Angelos Karelis, Márton Berczeli, Björn Sonesson, Nuno V Dias (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13400222.txt.
Description
Nivedita Mitta and colleagues describe rescuing aneurysm repairs gone subtly wrong at the groin, in a 2026 series on closure-device failure after percutaneous EVAR. Among 751 consecutive percutaneous repairs at one tertiary center from 2018 to 2023, closure malfunction occurred in 66 cases. Ten patients, twelve limbs, had this flow-limiting luminal pattern with controllable bleeding and were fixed from inside.
Device choice followed the lesion: bare stents for dissection flaps without bleeding, covered stents where the wall was injured or leaking contrast. Technical success was universal. At a median follow-up of 2.5 years, imaging showed 100 percent primary patency, with no clinically significant restenosis or occlusion in any treated limb. Where the lesion is focal and the artery otherwise intact, though, an immediate catheter-based bailout through existing access restores flow and spares a tired patient a groin exploration.
Catalog record
| CREATOR | Nivedita Mitta, Umar Sadat, Angelos Karelis, Márton Berczeli, Björn Sonesson, Nuno V Dias |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 21177 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |