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Successful Treatment of a Proximal Type I Endoleak with HeliFX EndoAnchors.
MedLine Citation:
PMID:  24184495     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: To report the use of Aptus HeliFX EndoAnchors for endovascular treatment of a proximal type I endoleak after previous endovascular aneurysm repair (EVAR) of a ruptured abdominal aortic aneurysm (AAA).
CASE REPORT: An 81-year-old man had been treated with EVAR after a ruptured 12 x 11cm AAA. Standard computed tomographic angiography (CTA) follow-up demonstrated a proximal type I endoleak. Due to the highly angulated neck and close position of the endograft to the renal arteries, placement of a proximal extension cuff was prohibited, therefore, the endoleak was treated with an alternative approach using the Aptus HeliFX EndoAnchors. Nine EndoAnchors were successfully placed circumferentially on the proximal site of the endograft. This successfully treated the endoleak, by excluding the aneurysm sac from the circulation. CTA follow-up after three months showed no residual type I endoleak.
CONCLUSION: This case shows that placement of EndoAnchors can serve as a viable treatment option for proximal type I endoleaks after failed EVAR.
Authors:
Wouter Hogendoorn; Felix J V Schlösser; John E Aruny; Jeffrey E Indes; Bauer E Sumpio; Bart E Muhs
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-10-31
Journal Detail:
Title:  Annals of vascular surgery     Volume:  -     ISSN:  1615-5947     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-11-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2013 Elsevier Inc. All rights reserved.
Affiliation:
Section of Vascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT, USA; Section of Interventional Radiology, Department of Radiology, Yale University School of Medicine, New Haven, CT, USA. Electronic address: wouter.hogendoorn@yale.edu.
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