Abstract：
OBJECTIVE: Treatment of thoracoabdominal aortic aneurysms in high surgical risk patients can be challenging. Reports of physician-modified inner-branched endovascular repair (PMiBEVAR) are increasing. Despite low morbidity and mortality rates, re-interventions for endoleaks with these grafts are serious. There are no reports of additional treatment for PMiBEVAR failure.
RESULTS: A 75-year-old man presented to our hospital with a Crawford\'s type IV thoracoabdominal aortic aneurysm. A PMiBEVAR was performed. Postoperative computed tomographic angiography revealed an endoleak from the inner branch of the right renal artery. A re-intervention was performed with coil embolization of the endoleak. Imaging after re-intervention showed successful obliteration of the endoleak.
CONCLUSIONS: We thereby report a successful case of re-intervention for PMiBEVAR failure.
RESULTS: A 75-year-old man presented to our hospital with a Crawford\'s type IV thoracoabdominal aortic aneurysm. A PMiBEVAR was performed. Postoperative computed tomographic angiography revealed an endoleak from the inner branch of the right renal artery. A re-intervention was performed with coil embolization of the endoleak. Imaging after re-intervention showed successful obliteration of the endoleak.
CONCLUSIONS: We thereby report a successful case of re-intervention for PMiBEVAR failure.
摘要：
目的：高手术风险患者的胸腹主动脉瘤治疗具有挑战性。医生改良的内分支血管内修复术（PMIBEVAR）的报道正在增加。尽管发病率和死亡率低，这些移植物对内漏的再干预是严重的。没有关于PMIBEVAR失败的额外治疗的报告。
结果：一名75岁的男子因克劳福德IV型胸腹主动脉瘤来到我们医院。进行了PMIBEVAR。术后计算机断层扫描血管造影显示右肾动脉内支有内漏。对内漏的线圈栓塞进行了重新干预。再次干预后的影像学显示内漏成功消失。
结论：因此，我们报告了一例成功的再介入治疗PMIBEVAR失败的病例。
结果：一名75岁的男子因克劳福德IV型胸腹主动脉瘤来到我们医院。进行了PMIBEVAR。术后计算机断层扫描血管造影显示右肾动脉内支有内漏。对内漏的线圈栓塞进行了重新干预。再次干预后的影像学显示内漏成功消失。
结论：因此，我们报告了一例成功的再介入治疗PMIBEVAR失败的病例。
