Incidence and treatment results of Endurant endograft occlusion

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Presentation transcript:

Incidence and treatment results of Endurant endograft occlusion Laura van Zeggeren, MD, Frederico Bastos Gonçalves, MD, Joost A. van Herwaarden, MD, PhD, Herman J.A. Zandvoort, MD, Debora A.B. Werson, MPA, Jan-Albert Vos, MD, PhD, Frans L. Moll, MD, PhD, Hence J. Verhagen, MD, PhD, Jean-Paul P.M. de Vries, MD, PhD Journal of Vascular Surgery Volume 57, Issue 5, Pages 1246-1254 (May 2013) DOI: 10.1016/j.jvs.2012.11.069 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 Endograft occlusion is confirmed by magnetic resonance angiography (MRA). Journal of Vascular Surgery 2013 57, 1246-1254DOI: (10.1016/j.jvs.2012.11.069) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 Kaplan-Meier curve shows the rate of freedom from occlusion at 4 years after endovascular aneurysm repair (EVAR). SD, Standard deviation. Journal of Vascular Surgery 2013 57, 1246-1254DOI: (10.1016/j.jvs.2012.11.069) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 3 Left, Tortuous right external iliac artery in a patient with both infrarenal aortic aneurysm and right common iliac artery aneurysm. Right, The right limb of the Endurant endograft has been positioned in the kink of the right external iliac artery, which limits the flow considerably. This patient later developed a right limb graft occlusion. Journal of Vascular Surgery 2013 57, 1246-1254DOI: (10.1016/j.jvs.2012.11.069) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 4 Overview of time to occlusion and the probable cause of occlusion is shown for (A) early occlusion occurring within the first 60 postoperative days and (B) delayed occlusion. EVAR, Endovascular aneurysm repair. Journal of Vascular Surgery 2013 57, 1246-1254DOI: (10.1016/j.jvs.2012.11.069) Copyright © 2013 Society for Vascular Surgery Terms and Conditions