Anaphylactoid reactions during implantation of polymer-filled ring stent grafts for treatment of abdominal aortic aneurysms

J Vasc Surg Cases Innov Tech. 2024 Jun 4;10(5):101551. doi: 10.1016/j.jvscit.2024.101551. eCollection 2024 Oct.

Abstract

Polymer ring stent grafts from Endologix are reliable to treat challenging abdominal aortic aneurysm anatomy (hostile neck and tortuous or narrow iliac arteries). Rare cases of anaphylactoid reactions have been reported during the filing time of the graft rings due to polymer leakage. Management with amines, an antihistamine drug, and supportive care quickly stabilized both of our patients, which permitted the continuation and completion of their surgery. In our experience, there was no death-related events nor negative impact on patients surgical and clinical outcomes. We report on polymer leakage using the Ovation IX and ALTO stent grafts resulting in an anaphylactoid reaction.

Keywords: Abdominal aortic aneurysm; Anaphylactoid reaction; Endologix stent graft system; Endovascular surgery.

Publication types

  • Case Reports