A nonstandard custom-made device to treat a type IA endoleak 6 years after Nellix implantation.

Andrea Molinari, Francesca Miceli, Marta Ascione, Rocco Cangiano, Wassim Mansour, Luca di Marzo

Abstract readCase Reports

In one paragraph

Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Andrea MolinariVascular Surgery Division, Department of General Surgery and Surgical Specialties, Policlinico Umberto I - "La Sapienza" University of Rome, Rome, Italy.

Francesca MiceliVascular Surgery Division, Department of General Surgery and Surgical Specialties, Policlinico Umberto I - "La Sapienza" University of Rome, Rome, Italy.

Marta AscioneVascular Surgery Division, Department of General Surgery and Surgical Specialties, Policlinico Umberto I - "La Sapienza" University of Rome, Rome, Italy.

Rocco CangianoVascular Surgery Division, Department of General Surgery and Surgical Specialties, Policlinico Umberto I - "La Sapienza" University of Rome, Rome, Italy.

Wassim MansourVascular Surgery Division, Department of General Surgery and Surgical Specialties, Policlinico Umberto I - "La Sapienza" University of Rome, Rome, Italy.

Luca di MarzoVascular Surgery Division, Department of General Surgery and Surgical Specialties, Policlinico Umberto I - "La Sapienza" University of Rome, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Nellix graft has been withdrawn from the market for the early graft failures associated with sac enlargement and rupture. To manage this complication, open conversion has been described as the main solution. However, we report the case of an 85-year-old female patient admitted with a type IA endoleak on a Nellix graft, with 70-mm aneurysmal sac, and treated with a custom-made device manufactured by Cook, to fit the peculiar graft conformation and patient's anatomy. In this case, accurate prosthesis design and surgical planning were essential to complete the procedure with no intraoperative complications.

Indexed as

Aortic AneurysmAortic custom-made endograftBEVARFEVARNellix SystemType IA Endoleak

Identifiers

PMID41542148

DOI10.1016/j.jvscit.2025.102041

PMCPMC12800587

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