Multicenter Nellix EndoVascular Aneurysm Sealing system experience in aneurysm sac sealing Dittmar Böckler, MD, PhD, Andrew Holden, MBChB, Matt Thompson,

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Multicenter Nellix EndoVascular Aneurysm Sealing system experience in aneurysm sac sealing Dittmar Böckler, MD, PhD, Andrew Holden, MBChB, Matt Thompson, MD, Paul Hayes, MD, Dainis Krievins, MD, Jean-Paul P.M. de Vries, MD, PhD, Michel M.P.J. Reijnen, MD, PhD Journal of Vascular Surgery Volume 62, Issue 2, Pages 290-298 (August 2015) DOI: 10.1016/j.jvs.2015.03.031 Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 1 Schematic of Nellix devices after deployment. Journal of Vascular Surgery 2015 62, 290-298DOI: (10.1016/j.jvs.2015.03.031) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 2 Schematic of cross section of Nellix devices within the aneurysm. Journal of Vascular Surgery 2015 62, 290-298DOI: (10.1016/j.jvs.2015.03.031) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 3 Nellix console with four ports and a close-up view of the in-line pressure transducer. Journal of Vascular Surgery 2015 62, 290-298DOI: (10.1016/j.jvs.2015.03.031) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 4 Kaplan-Meier curves of the composite end point, Nellix occlusion, reintervention, and type Ia endoleak. The composite end point was defined as the occurrence of type I or type III endoleak, sac enlargement >5 mm, death, aneurysm rupture, or aneurysm-related reintervention. Bars represent standard errors. Journal of Vascular Surgery 2015 62, 290-298DOI: (10.1016/j.jvs.2015.03.031) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 5 Contrast-enhanced computed tomography (CT) scan (axial view) demonstrates a type II endoleak in communication with lumbar arteries at 3 months (A) and 12 months (B) postoperatively. The aneurysm was 65 mm in diameter at baseline, and the blood lumen was small (34 mL). The aneurysm sac diameter remained unchanged through 1 year, with a slight increase in the size of the type II endoleak cavity. Journal of Vascular Surgery 2015 62, 290-298DOI: (10.1016/j.jvs.2015.03.031) Copyright © 2015 Society for Vascular Surgery Terms and Conditions