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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 on theme: "Management of late main-body aortic endograft component uncoupling and type IIIa endoleak encountered with the Endologix Powerlink and AFX platforms "— Presentation transcript:

1 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 (October 2015) DOI: /j.jvs Copyright © Terms and Conditions

2 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  , DOI: ( /j.jvs ) Copyright © Terms and Conditions

3 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  , DOI: ( /j.jvs ) Copyright © Terms and Conditions

4 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  , DOI: ( /j.jvs ) Copyright © Terms and Conditions

5 Fig 4 A, Endograft component uncoupling and (B) successful placement of an internal bridging component. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © Terms and Conditions

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