Kasprzak, Piotr M. and Pfister, Karin and Kuczmik, Waclaw and Schierling, Wilma and Sachsamanis, Georgios and Oikonomou, Kyriakos (2021) Novel Technique for the Treatment of Type Ia Endoleak After Endovascular Abdominal Aortic Aneurysm Repair. JOURNAL OF ENDOVASCULAR THERAPY, 28 (4): 1526602821. pp. 519-523. ISSN 1526-6028, 1545-1550
Full text not available from this repository. (Request a copy)Abstract
Purpose Open surgical repair of type Ia endoleak after endovascular aortic aneurysm repair/sealing (EVAR/EVAS) is associated with significant perioperative mortality and morbidity. Current endovascular redo techniques face limitations, especially when the infrarenal landing zone is inadequate and the previous endograft is rigid and features a short or no main body. We present a novel concept for the treatment of type Ia endoleak using a custom-made branched device. Technique The 5-branch-device (Cook Medical, Bloomington, IN, USA) consists of a nitinol skeleton with branches, covered with a low-profile polyester fabric loaded in an 18F sheath. The device features a minimum of 2 proximal sealing stents and includes branches for renovisceral vessels as well as an additional 8 mm branch for the contralateral iliac limb. Implantation and sealing in the renovisceral vessels is carried out in standard fashion, using transfemoral and transaxillary access. Distal sealing is achieved by tapering the branched component into the ipsilateral iliac limb and using a bridging balloon-expandable or self-expandable stent-graft through the additional branch to the preexisting contralateral iliac limb. Conclusion Treatment of type Ia endoleak with a new custom-made device enables sufficient proximal seal while minimizing suprarenal aortic coverage and facilitates adequate component overlap. The low profile branched design accommodates implantation through the preexisting endograft and catheterization of target vessels.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | REGISTRY; type Ia endoleak; bEVAR; EVAR; EVAS; additional branch; custom-made device |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Abteilung für Gefäßchirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 29 Aug 2022 12:47 |
| Last Modified: | 29 Aug 2022 12:47 |
| URI: | https://pred.uni-regensburg.de/id/eprint/46472 |
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