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Report of a semi-branched stent-graft to treat a type 1a endoleak after failed EVAR
Ozan Yazar1, ChunYu Wong1, Pieter Bartholomeus Salemans1
1Department of Vascular Surgery, Zuyderland Medical Center, Heerlen, The Netherlands.
Background:
Endovascular techniques are advancing with the change of treatment paradigm for abdominal aortic aneurysms. Fenestrated EVAR (fEVAR) and branched EVAR (bEVAR) are used for complex aortic aneurysm repair. Both fEVAR and bEVAR have their own advantages and disadvantages. Semi-branches are a new feature that attempt to combine the advantages of both fEVAR and bEVAR.
Technique:
We describe the use of a 4-vessel semi-branched EVAR in a failed EVAR case with a type 1a endoleak.
Conclusion:
The novel feature of semi-branches in custom-made EVAR devices in endovascular aortic treatment following failed EVAR appear to be a feasible option.
