F. Noel Parent, MD, Vasso Godziachvili, MD, George H

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Presentation transcript:

Endograft limb occlusion and stenosis after ANCURE endovascular abdominal aneurysm repair F.Noel Parent, MD, Vasso Godziachvili, MD, George H. Meier, MD, Frank M. Parker, DO, Kathleen Carter, RN, Robert G. Gayle, MD, Richard J. DeMasi, MD, Roger T. Gregory, MD Journal of Vascular Surgery Volume 35, Issue 4, Pages 686-690 (April 2002) DOI: 10.1067/mva.2002.118595 Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 Life table of primary assisted patency rate of endografts. Group 1 represents patients with “normal” results of an initial completion angiogram and no adjuvant use of stents for limb support. Group 2 represents patients who had abnormal results of an initial completion angiogram and adjuvant stent implantation for limb support (P = not significant, log-rank test). Journal of Vascular Surgery 2002 35, 686-690DOI: (10.1067/mva.2002.118595) Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 Endograft limb stenosis. A, Color transverse CDU showing right limb stenosis. B, Spectral analysis of a distal endograft limb stenosis demonstrating peak systolic velocity of 440 cm/s. Journal of Vascular Surgery 2002 35, 686-690DOI: (10.1067/mva.2002.118595) Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 After successful percutaneous transluminal angioplasty/ stent implantation, the results of spectral analysis are normal (compare with Fig 2B ). The other limb is not in the image plane and is not seen. Journal of Vascular Surgery 2002 35, 686-690DOI: (10.1067/mva.2002.118595) Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 4 A severe stenosis in the proximal endograft limb developed 2 years after endograft implantation. The velocity at the stenosis was 404 cm/s, compared with 85 cm/s in an adjacent segment. Journal of Vascular Surgery 2002 35, 686-690DOI: (10.1067/mva.2002.118595) Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 5 Intraoperative angiogram confirming limb dysfunction before percutaneous transluminal angioplasty and stent deployment. Journal of Vascular Surgery 2002 35, 686-690DOI: (10.1067/mva.2002.118595) Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions