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Fabric tears as a new cause of type III endoleak with ancure endograft

Published byFrauke Scholz Modified over 5 years ago

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Presentation on theme: "Fabric tears as a new cause of type III endoleak with ancure endograft"— Presentation transcript:

1 Fabric tears as a new cause of type III endoleak with ancure endograft
Arno Teutelink, MD, MSc, Maarten J van der Laan, MD, Ross Milner, MD, Jan D Blankensteijn, MD  Journal of Vascular Surgery  Volume 38, Issue 4, Pages (October 2003) DOI: /S (03)

2 Fig 1 Case 1. Computed tomographic angiogram obtained in sagittal cross-section through the aneurysm after endovascular aneurysm repair demonstrates a large type I endoleak. Arrow points to its possible origin. G, Graft; E, endoleak. Journal of Vascular Surgery  , DOI: ( /S (03) )

3 Fig 2 Case 1. Arteriogram obtained in the early contrast phase exhibits a small stream (arrow), which reveals the origin of the endoleak to be from the body of the graft, consistent with type III endoleak. Journal of Vascular Surgery  , DOI: ( /S (03) )

4 Fig 3 Abdominal x-ray film shows Ancure endograft markers on the outside of the graft and Excluder endograft zigzag nitinol wire loops inside. Journal of Vascular Surgery  , DOI: ( /S (03) )

5 Fig 4 Case 1. Proportional volume change compared with postoperative volume. Proportional volume change is calculated on the basis of postoperative volume. Postoperative volume is the base volume on which volumetric measurement changes are calculated, in percentage, during follow-up. An obvious increase in nonluminal volume is noted after 36 months. After a trend to reduction of thrombus volume to 30 months, there is a sudden 34% increase in volume. After secondary endovascular graft placement, volume was decreased after 1 year to nonluminal volume of 65 mL. Journal of Vascular Surgery  , DOI: ( /S (03) )

6 Fig 5 Case 2. Arterial-phase angiogram reveals a large endoleak (arrow). Origin of the endoleak is suspicious for type III endoleak. Endoleak appears just proximal to the right limb at the tip of the Wallstent. Journal of Vascular Surgery  , DOI: ( /S (03) )

7 Fig 6 Case 2. Computed tomographic angiogram obtained in sagittal cross-section of the aneurysm demonstrates that the endoleak originates somewhere at the proximal end of the Wallstent in the right limb. Exact origin, however, could not be determined. G, Graft; E, endoleak. Journal of Vascular Surgery  , DOI: ( /S (03) )

8 Fig 7 Case 2. Explanted endograft. Probe demonstrates origin of type III endoleak. A connection between the Wallstent and the endoleak was obvious. In the left limb, the second Wallstent is still in situ. Journal of Vascular Surgery  , DOI: ( /S (03) )

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