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- Title
A Novel Solution to Concomitant Type Ia/Type IIIa Endoleak Using the Cook Zenith Fenestrated Device and Endologix AFX ® 2.
- Authors
Smith, Andrew H.; Farivar, Behzad S.
- Abstract
Failing EVAR is typically treated with open explant or conversion to fenestrated endovascular repair. Novel solutions for EVAR salvage may be required in patients unable to tolerate explant or travel to centers with custom-fenestrated capabilities. However, strategies utilizing commercially available devices are often limited by anatomic constraints such as short renal artery to endograft bifurcation length. We present a case of progressive sac expansion due to late, concomitant type Ia and type IIIa endoleaks. The patient was successfully treated by proximal extension into the visceral segment using a Cook Zenith Fenestrated device and graft relining using the Endologix AFX®2.
- Subjects
MEDICAL equipment reliability; ABDOMINAL aortic aneurysms; BLOOD vessels; SURGICAL stents; BLOOD vessel prosthesis; ENDOVASCULAR surgery; COMPUTED tomography; COMPLICATIONS of prosthesis; TRANSPLANTATION of organs, tissues, etc.
- Publication
Vascular & Endovascular Surgery, 2021, Vol 55, Issue 7, p777
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/15385744211006611