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A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
Complete Modular Disconnection between AFX2 and VELA Leading to a Type IIIa Endoleak Two Years after Endovascular
Kotaro Mukasa1, Yasunori Yakita1, Ryosuke Marushima1
1Department of Cardiovascular Surgery, Chiba Cardiovascular Center, Ichihara, Chiba, Japan.
None:
The AFX endograft (Endologix, Irvine, CA, USA) is known to have a high incidence of late type III endoleaks. We report a 76-year-old male who developed a type IIIa endoleak due to complete modular separation 2 years after endovascular aneurysm repair with an AFX2 main body and a VELA extension. Open surgical graft replacement was performed, and the postoperative course was uneventful. This case demonstrates that in the presence of a large aneurysm diameter or significant neck angulation, even Instructions for Use-compliant and recommended overlap may be insufficient. It suggests the necessity of securing greater overlap and implementing stricter follow-up.
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