Endovascular rescue of long-term vascular graft implants and need for continuous surveillance Brian M. Leoce, BS, Herbert Dardik, MD, FACS, Phillip Bahramipour,

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Endovascular rescue of long-term vascular graft implants and need for continuous surveillance Brian M. Leoce, BS, Herbert Dardik, MD, FACS, Phillip Bahramipour, MD, Thomas R. Bernik, MD, FACS Journal of Vascular Surgery Cases and Innovative Techniques Volume 4, Issue 1, Pages 12-14 (March 2018) DOI: 10.1016/j.jvscit.2017.09.004 Copyright © 2017 The Authors Terms and Conditions

Fig 1 A, Three-dimensional reconstructed computed tomography (CT) scan depicting both the proximal anastomotic and the left limb aneurysmal degeneration of the Dacron graft (arrows) at 26 years after implantation. B, Proximal anastomotic aneurysmal degeneration of Dacron graft treated by endovascular aneurysm repair as demonstrated in this intraoperative study before endograft completion with subsequent nonvisualization of graft aneurysms. C, Intraoperative study of Dacron graft left iliac limb aneurysmal degeneration successfully treated with a covered stent graft (bracket). Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 12-14DOI: (10.1016/j.jvscit.2017.09.004) Copyright © 2017 The Authors Terms and Conditions

Fig 2 A, Segment of umbilical vein graft aneurysmal degeneration. B, Endovascular salvage of the umbilical vein bypass with overlapping stent grafts (arrows). C, Ultrasound depicting overlapping stent grafts in distal superficial femoral artery (SFA) and proximal popliteal artery. The arrows depict the opposite walls of the aneurysm sac (6-8 cm). Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 12-14DOI: (10.1016/j.jvscit.2017.09.004) Copyright © 2017 The Authors Terms and Conditions

Fig 3 Angiogram depicting previously implanted Viabahn stent grafts (arrows). Distal endoleak visualized, located 6 cm above the original distal umbilical vein bypass anastomosis (circle). Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 12-14DOI: (10.1016/j.jvscit.2017.09.004) Copyright © 2017 The Authors Terms and Conditions