Carlos E. Donayre, MD, Christopher K. Zarins, MD, Dainis K

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Presentation transcript:

Initial clinical experience with a sac-anchoring endoprosthesis for aortic aneurysm repair Carlos E. Donayre, MD, Christopher K. Zarins, MD, Dainis K. Krievins, MD, Andrew Holden, MD, Andrew Hill, MBChB, FRACS, Carlos Calderas, MD, Jaime Velez, MD, Rodney A. White, MD Journal of Vascular Surgery Volume 53, Issue 3, Pages 574-582 (March 2011) DOI: 10.1016/j.jvs.2010.09.009 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 Images of the Nellix sac-anchoring abdominal aortic aneurysm device. A, A single catheter is shown in the undeployed state. B, Two catheters have been deployed in a synthetic aneurysm model. Journal of Vascular Surgery 2011 53, 574-582DOI: (10.1016/j.jvs.2010.09.009) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 Procedural steps to treat aneurysms using the Nellix sac-anchoring abdominal aortic aneurysm device. Journal of Vascular Surgery 2011 53, 574-582DOI: (10.1016/j.jvs.2010.09.009) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 3 A-C, Pretreatment of an aneurysm with a large blood-lumen diameter and minimal thrombus, 3-dimensional reconstructions (preoperative and postoperative). D-G, Computed tomography cross-sections preoperatively and at 1, 6, and 12 months postoperatively. Journal of Vascular Surgery 2011 53, 574-582DOI: (10.1016/j.jvs.2010.09.009) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 4 A, Computed tomography and angiography images of an aneurysm with adverse neck anatomy treated using the Nellix device. B, The 30-day follow-up showed a limited type I endoleak, which was not visible on angiography at 60 days. Journal of Vascular Surgery 2011 53, 574-582DOI: (10.1016/j.jvs.2010.09.009) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 5 Angiographic images illustrate the treatment of a common iliac aneurysm using a sac-anchoring iliac extender, which preserved flow in the hypogastric artery, (left) before and (right) after treatment. Journal of Vascular Surgery 2011 53, 574-582DOI: (10.1016/j.jvs.2010.09.009) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 6 Angiographic images (left) before and (right) after treatment from an aneurysm treated using the Nellix device illustrating the occlusion of lumbar and mesenteric arteries, which if untreated can lead to type II endoleaks with traditional devices. Journal of Vascular Surgery 2011 53, 574-582DOI: (10.1016/j.jvs.2010.09.009) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 7 Angiographic and cross-sectional computed tomography images of one type II endoleak seen in the bifurcation region where a commercial extender was used. Journal of Vascular Surgery 2011 53, 574-582DOI: (10.1016/j.jvs.2010.09.009) Copyright © 2011 Society for Vascular Surgery Terms and Conditions