Journal of vascular surgery cases and innovative techniques
August 14, 2026 · via Europe PMC
Endovascular salvage of a dislodged renal bridging stent using balloon-induced foreshortening following thoracoabdominal multibranch endograft.
Mewissen MW, Choudry S.
AI summary — for doctors, generated from the abstract only
A case report shows that deliberately foreshortening a dislodged renal bridging stent with balloon dilation salvaged a type III endoleak after multibranch thoracoabdominal repair.
What was studied
A single case report of a 69-year-old man who, ten days after thoracoabdominal multibranch endograft repair, was found on CT angiography to have a type III endoleak from complete dislodgement of the left renal bridging stent, treated by brachial reintervention.
Key findings
- CT angiography ten days postoperatively showed a type III endoleak caused by complete dislodgement of the left renal bridging stent.
- Controlled balloon dilation during brachial reintervention foreshortened the displaced stent, restoring alignment with the renal artery.
- Reconstruction was completed successfully.
- Six-month CT angiography confirmed a patent reconstructed stent with no residual endoleak.
Clinical relevance
A single technical case report describing a bailout maneuver that may be useful knowledge during complex branched endograft reinterventions; it offers no data on how often this works.
Who should care
Limitations
One patient with six months of imaging follow-up, and no comparison with alternative salvage techniques.
Balloon-induced foreshortening realigned a fully dislodged branch stent in this single salvage case.
This is an AI-generated summary of the published abstract, not a clinical recommendation. It may not reflect the full text or subsequent updates — verify against the original source before acting on it.
Abstract
A 69-year-old man underwent thoracoabdominal multibranch endograft repair. Ten days later, computed tomography angiography demonstrated type III endoleak caused by the complete dislodgement of the left renal bridging stent. During brachial reintervention, controlled balloon dilation foreshortened the displaced stent, restoring alignment with the renal artery and enabling successful reconstruction. Six-month computed tomography angiography confirmed a patent reconstructed stent without residual endoleak. This case demonstrates the successful use of balloon-induced stent foreshortening for the endovascular salvage of a completely dislodged renal bridging stent.
DOI
10.1016/j.jvscit.2026.102441
PMID
42761396
PMCID
PMC13586505
Research metadata (titles, abstracts, authors, publication dates) is sourced from Europe PMC, which aggregates content from PubMed/MEDLINE, PubMed Central, and other providers under the U.S. National Library of Medicine (NLM/NCBI). NLM does not claim copyright on abstracts; the original journal publishers or authors may hold rights to the full articles. AI-generated summaries are derived only from the abstract, never the full text, and are always labeled as AI-generated.
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