Semi-inner branch relining for late AFX type Ia/IIIa endoleak
Giovanni Gagliardo di Carpinello1, Simona Rubino1, Martina Pacillo1
1Vascular Surgery Unit, Department of General and Specialized Surgery and Anesthesiology, "Sapienza" University of Rome, Rome, Italy.
Summary
Late endograft failure is a challenge. A case of AFX endograft modular disconnection and migration 13 years post-implantation was successfully treated with a custom semi-inner branch endograft, highlighting the need for lifelong surveillance.
Area of Science:
- Vascular Surgery
- Endovascular Repair
- Medical Device Technology
Background:
- Early-generation AFX endografts can experience late failures, including combined type IA/IIIA endoleaks, years after endovascular aneurysm repair.
- Modular disconnection and proximal cuff migration are specific failure modes observed in these devices.
- These complications can lead to rapid sac enlargement and pose significant challenges for patient management.
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