Language
English
Publication Date
8-1-2025
Journal
Journal of Vascular Surgery Cases, Innovations and Techniques
DOI
10.1016/j.jvscit.2025.101816
PMID
40492058
PMCID
PMC12148387
PubMedCentral® Posted Date
4-23-2025
PubMedCentral® Full Text Version
Post-print
Abstract
Infection of fenestrated-branched stent graft is an uncommon but potentially catastrophic complication. The technical challenge of total stent graft explant and reconstruction of the renal-mesenteric arteries is associated with high mortality and morbidity. Among patients of Jehovah Witness faith, refusal to accept blood transfusion adds to the risk given the invasiveness of these operations. We report a Jehovah's Witness faith patient with a recurrent infection of a four-vessel fenestrated and bilateral iliac branch stent graft treated in two stages by axillofemoral bypass, followed by extra-anatomical reconstruction of the mesenteric, renal, and left internal iliac arteries and total stent graft explant and aortic stump closure.
Keywords
Fenestrated endovascular aneurysm repair (F-EVAR), Stent graft infection, Jehovah's Witness, Aortic explantation, Extra-anatomical bypass
Published Open-Access
yes
Recommended Citation
Bugna, Carlotta; Ruiter Kanamori, Lucas; Suguita, Priscila; et al., "Explant of an Infected Four-Vessel Fenestrated and Bilateral Iliac Branch Stent Graft in a Patient of Jehovah’s Witness Faith" (2025). Faculty, Staff and Students Publications. 6175.
https://digitalcommons.library.tmc.edu/baylor_docs/6175