Yehuda G. Wolf, MD, Bradley B. Hill, MD, W

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Presentation transcript:

Eccentric stent graft compression: An indicator of insecure proximal fixation of aortic stent graft Yehuda G. Wolf, MD, Bradley B. Hill, MD, W.Anthony Lee, MD, Christine M. Corcoran, RN, MS, Thomas J. Fogarty, MD, Christopher K. Zarins, MD Journal of Vascular Surgery Volume 33, Issue 3, Pages 481-487 (March 2001) DOI: 10.1067/mva.2001.112322 Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 Proximal stent graft configurations. Journal of Vascular Surgery 2001 33, 481-487DOI: (10.1067/mva.2001.112322) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 A, Postoperative abdominal radiograph demonstrates eccentric compression. B, Abdominal radiograph at 8 months at time of new proximal endoleak. C, Aortogram shows proximal endoleak. D, Follow-up abdominal radiograph after insertion of proximal extender cuff. Journal of Vascular Surgery 2001 33, 481-487DOI: (10.1067/mva.2001.112322) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 A, Immediate postoperative abdominal radiograph demonstrates short segment apposition of stent graft to aortic wall. B, Abdominal radiograph at 12 months with distal migration of stent graft into aneurysm sac. C, Aortogram shows proximal endoleak. D, Intraoperative completion aortogram after placement of proximal extender cuff and elimination of endoleak. Journal of Vascular Surgery 2001 33, 481-487DOI: (10.1067/mva.2001.112322) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 4 A, Postoperative abdominal radiograph shows eccentric compression of stent graft. B, Abdominal radiograph at 13 months. C, Abdominal radiograph at 25 months. Stent graft has migrated 7 mm to low position in aortic neck. Placement of proximal extender cuff was recommended, but patient declined. Journal of Vascular Surgery 2001 33, 481-487DOI: (10.1067/mva.2001.112322) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions