Management of late main-body aortic endograft component uncoupling and type IIIa endoleak encountered with the Endologix Powerlink and AFX platforms

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Presentation transcript:

Management of late main-body aortic endograft component uncoupling and type IIIa endoleak encountered with the Endologix Powerlink and AFX platforms Afshin A. Skibba, MD, James R. Evans, MD, David Tyler Greenfield, MD, Heesuk Richard Yoon, MD, Tony Katras, MD, Kenneth Ouriel, MD, Daniel S. Rush, MD Journal of Vascular Surgery Volume 62, Issue 4, Pages 868-875 (October 2015) DOI: 10.1016/j.jvs.2015.04.454 Copyright © 2015 Terms and Conditions

Fig 1 Image shows sideways displacement and uncoupling of the endograft main body and proximal extension. Note the absence of contrast within the aneurysm sac despite the type IIIa endoleak. Journal of Vascular Surgery 2015 62, 868-875DOI: (10.1016/j.jvs.2015.04.454) Copyright © 2015 Terms and Conditions

Fig 2 Three-dimensional computed tomography (CT) reconstructions illustrate centerline and greater curvature measurements (green lines) and endograft component overlap at 3 months and 37 months after endovascular aneurysm repair (EVAR). Note endograft uncoupling and type IIIa endoleak along the greater curve (white arrows). Journal of Vascular Surgery 2015 62, 868-875DOI: (10.1016/j.jvs.2015.04.454) Copyright © 2015 Terms and Conditions

Fig 3 Linear regression shows loss of greater curve and centerline endograft component overlap over time after endovascular aneurysm repair (EVAR). Journal of Vascular Surgery 2015 62, 868-875DOI: (10.1016/j.jvs.2015.04.454) Copyright © 2015 Terms and Conditions

Fig 4 A, Endograft component uncoupling and (B) successful placement of an internal bridging component. Journal of Vascular Surgery 2015 62, 868-875DOI: (10.1016/j.jvs.2015.04.454) Copyright © 2015 Terms and Conditions