Diagnosis and relining techniques for delayed type IIIB endoleaks with the second- generation AFX endograft Gary Lemmon, MD, Andrew Barleben, MD, Peter.

Slides:

Advertisements

Similar presentations

Jon S. Matsumura, MD, Wesley S. Moore, MD Journal of Vascular Surgery

Advertisements

Rupture of abdominal aortic aneurysm with tear of inferior vena cava in a patient with prior endograft Martin A.V. Tuma, MD, Sachinder Singh Hans, MD

Yehuda G. Wolf, MD, Bradley B. Hill, MD, W

Modular component separation and reperfusion of abdominal aortic aneurysm sac after endovascular repair of the abdominal aortic aneurysm: A case report

Delayed migration of a thrombosed aortic endograft within a thrombosed aneurysm sac resulting in continued sac expansion and rupture Edvard Skripochnik,

Endovascular repair of proximal endograft collapse after treatment for thoracic aortic disease Markus G.M. Steinbauer, MD, Alexander Stehr, MD, Karin.

Transaortic gunshot wound through perivisceral segment successfully managed by placement of thoracic stent graft Jared T. Feyko, DO, Peter Zmijewski,

Erosion of lumbar vertebral bodies from a chronic contained rupture of an abdominal aortic pseudoaneurysm W. Andrew Oldenburg, MD, Tariq Almerey, MD

Joyce J. Lu, MD, Jason D. Slaikeu, MD, MBA, Peter Y. Wong, MD

Lee J. Goldstein, MD, Combiz Rezayat, MD, Gautam V

Joyce J. Lu, MD, Jason D. Slaikeu, MD, MBA, Peter Y. Wong, MD

Acute blunt traumatic injury to the descending thoracic aorta

David Drullinsky, MD, Heather Gill, MD, MPH, Jason P

Surgeon-modified fenestrated-branched stent grafts to treat emergently ruptured and symptomatic complex aortic aneurysms in high-risk patients Joseph.

Delayed migration of a thrombosed aortic endograft within a thrombosed aneurysm sac resulting in continued sac expansion and rupture Edvard Skripochnik,

Transaortic gunshot wound through perivisceral segment successfully managed by placement of thoracic stent graft Jared T. Feyko, DO, Peter Zmijewski,

A comparison between contrast-enhanced ultrasound imaging and multislice computed tomography in detecting and classifying endoleaks in the follow-up after.

Novel technique for endovascular salvage of a folded aortic endograft

David Nabi, MD, Erin H. Murphy, MD, Jimmy Pak, MD, Christopher K

Late Gore Excluder endoprosthesis fabric tear leading to abdominal aortic aneurysm rupture 5 years after initial implant Anand Dayama, MD, Nikolaos Tsilimparis,

Rupture of abdominal aortic aneurysm with tear of inferior vena cava in a patient with prior endograft Martin A.V. Tuma, MD, Sachinder Singh Hans, MD

Bruce A. Perler, MD, MBA Journal of Vascular Surgery

Emergency thoracic endovascular aortic repair with celiac artery coverage in hereditary hemorrhagic telangiectasia Yuji Kawano, MD, Yuji Kanaoka, MD,

What is the clinical utility of a 6-month computed tomography in the follow-up of endovascular aneurysm repair patients? Michael R. Go, MD, Joel E. Barbato,

Outcomes of endovascular treatment for aortic pseudoaneurysm in Behcet's disease Sung Won Kim, MD, Do Yun Lee, MD, Man Deuk Kim, MD, Jong Yun Won, MD,

Andreas M. Lazaris, MD, Anastasios N. Maheras, MD, Spyros N

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

Erosion of lumbar vertebral bodies from a chronic contained rupture of an abdominal aortic pseudoaneurysm W. Andrew Oldenburg, MD, Tariq Almerey, MD

Lower extremity compartment syndrome after elective percutaneous fenestrated endovascular repair of an abdominal aortic aneurysm John F. Charitable,

Preservation of internal iliac arteries during endovascular aneurysm repair using “eye of the tiger” technique Tariq Almerey, MD, W. Andrew Oldenburg,

John K. Politz, MD, Virginia S. Newman, MD, Mark T. Stewart, MD

Development of endotension after multiple rounds of thrombolysis after endovascular aneurysm repair Jessica Belchos, MSc, Mark Wheatcroft, MD, FRCS,

Aortoduodenal fistula after endograft repair of abdominal aortic aneurysm secondary to a retained guidewire Houssam Farres, MD, Alberto J. Gonzales,

Migration of endovascular plug in hybrid repair of dysphagia lusoria

Late endoleak after endovascular repair of an abdominal aortic aneurysm with multiple proximal extender cuffs Yehuda G. Wolf, MD, Bradley B. Hill, MD,

Niyant V. Patel, MD, Graham W. Long, MD, Zulfiqar F

Successful off-label use of the GORE EXCLUDER Iliac Branch Endoprosthesis to preserve gluteal perfusion during staged endovascular repair of bilateral.

Ruptured Aneurysm Caused by an Endoleak 29 Months After Transluminal Endovascular Grafting for a Dissecting Aortic Aneurysm S. Suzuki, K. Imoto, K. Uchida,

Endovascular repair of an iliac artery aneurysm in a patient with Ehlers-Danlos syndrome type IV Britt H. Tonnessen, MD, W. Charles Sternbergh, MD, Krishna.

Vladimir Neychev, MD, PhD, Emilia Krol, MD, Alan Dietzek, MD

Pegge Halandras, MD, Ross Milner, MD Journal of Vascular Surgery

Disseminated intravascular coagulation after endovascular aneurysm repair: Resolution after aortic banding Ashish S. Patel, MRCS (Eng), MBBS (Lond),

Customized endovascular repair of common iliac artery aneurysms

Peter H Lin, MD, Ruth L Bush, MD, Alan B Lumsden, MD

Anatomic factors associated with acute endograft collapse after Gore TAG treatment of thoracic aortic dissection or traumatic rupture Bart E. Muhs, MD,

Aortic graft infection with enteric organism after embolization of late type II endoleak Ben Li, BHSc, Kong Teng Tan, MD, Mary Elizabeth MacDonald, MD,

The effect of endograft relining on sac expansion after endovascular aneurysm repair with the original-permeability Gore Excluder abdominal aortic aneurysm.

Joss D. Fernandez, MD, John M. Craig, MD, H

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

Endovascular treatment of ruptured axillary and large internal mammary artery aneurysms in a patient with Marfan syndrome Jessica F. Rose, DO, Layla.

Jon S. Matsumura, MD, Wesley S. Moore, MD Journal of Vascular Surgery

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

Peter L Faries, MD, Hadley Cadot, MD, Gautam Agarwal, MD, K

Richard E. Parsons, MD, Michael L. Marin, MD, Frank J

First experience using intraoperative contrast-enhanced ultrasound during endovascular aneurysm repair for infrarenal aortic aneurysms Reinhard Kopp,

Successful endovascular repair of a ruptured abdominal aortic aneurysm in a patient with unfavorable anatomy Benjamin R. Grey, MB. ChB, MRCS, John S.

Treatment of an early type II endoleak causing hemorrhage after endovascular aneurysm repair for ruptured abdominal aortic aneurysm Olivier Hartung,

Endovascular repair of bilateral common iliac artery aneurysms following open abdominal aortic aneurysm repair with preservation of both hypogastric arteries.

Diagnosis and relining techniques for delayed type IIIB endoleaks with the second- generation AFX endograft Gary Lemmon, MD, Andrew Barleben, MD, Peter.

Migration of endovascular plug in hybrid repair of dysphagia lusoria

One-year follow-up after total endovascular repair of a contained-ruptured thoracoabdominal aortic aneurysm with the sandwich technique Theodosios Bisdas,

Aortic type B dissection with acute expansion of iliac artery aneurysm in previous endovascular repair with iliac branched graft Raffaele Pulli, MD,

Fenestrated aortic endograft branching with Gore VBX poses failure risk from delayed- onset branch kinking Jeniann A. Yi, MD, MS, David P. Kuwayama, MD,

Isolated mycotic hypogastric artery aneurysm

C. Y. Maximilian Png, BA, James W. Cornwall, MD, Peter L

Transapical thoracic endovascular aortic repair in aortic arch aneurysm through a pre- existent bioprosthetic aortic valve Eijiro Nogami, MD, Junji Yunoki,

Contrast-enhanced Duplex surveillance after endovascular abdominal aortic aneurysm repair: Improved efficacy using a continuous infusion technique Esteban.

Type B aortic dissection after endovascular abdominal aortic aneurysm repair causing endograft collapse and severe malperfusion Vikram Iyer, MD, Mark.

Fenestrated aortic endograft branching with Gore VBX poses failure risk from delayed- onset branch kinking Jeniann A. Yi, MD, MS, David P. Kuwayama, MD,

A novel percutaneous double-lumen stent graft technique for treatment of chronic type B aortic dissection under local anesthesia Sophie Wang, BS, Mahmoud.

Presentation transcript:

Diagnosis and relining techniques for delayed type IIIB endoleaks with the second- generation AFX endograft Gary Lemmon, MD, Andrew Barleben, MD, Peter Nelson, MD, MS, H. Edward Garrett, MD Journal of Vascular Surgery Cases and Innovative Techniques Volume 5, Issue 1, Pages 51-53 (March 2019) DOI: 10.1016/j.jvscit.2018.10.006 Copyright © 2018 Terms and Conditions

Fig 1 Patient 1: A, Twelve-month computed tomography (CT) scan revealed new stent deformation and contrast within the aneurysm sac consistent with type IIIB endoleak despite decreasing sac size (arrows pointing to the endoleak). B, Intraoperative imaging with provoked angiogram (injection of contrast agent above both balloon-occluded iliac limbs to verify the endoleak) demonstrating type IIIB endoleak and absence of type IA endoleak. C, Completion angiogram after Palmaz stent and cuff placement (initial type IIIB treatment). D, Twelve-month CT scan after an initial type IIIB endoleak relining shows a new type IIIB endoleak, after two scans showing no endoleak. E, Completion angiogram after redo endovascular aneurysm repair (EVAR) with a Trivascular Ovation graft. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 51-53DOI: (10.1016/j.jvscit.2018.10.006) Copyright © 2018 Terms and Conditions

Fig 2 Patient 2: A and B, Twelve months after implantation, the patient presented emergently. A computed tomography (CT) scan revealed aortic sac rupture with retroperitoneal hemorrhage. A focal endoleak was discovered adjacent to the endograft immediately distal to the overlap site. C, Intraoperative image demonstrating extensive wireframes from four endograft components after relining. Note the two proximal aortic extension marking rings. D, A CT scan approximately 2 months after relining with dense wireframe signal showing intact repair and resolution of the endoleak. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 51-53DOI: (10.1016/j.jvscit.2018.10.006) Copyright © 2018 Terms and Conditions

Fig 3 A, Intravascular ultrasound examination demonstrating wireframe (straight arrows) and Sure Pass wire (curved arrow) and central lumen of endograft. B, Provoked angiogram image of a type IIIB endoleak demonstrating adequate overlap and contrast extravasation during iliac balloon occlusion. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 51-53DOI: (10.1016/j.jvscit.2018.10.006) Copyright © 2018 Terms and Conditions