Journal of Vascular Surgery Cases and Innovative Techniques (Mar 2019)
Diagnosis and relining techniques for delayed type IIIB endoleaks with the second-generation AFX endograft
Abstract
Type IIIB endoleaks resulting from endograft fabric tear are an uncommon but serious late complication of endovascular aortic aneurysm repair. The Strata fabric used in the earlier generation AFX endograft (updated to Duraply in October 2014) has been associated with an increased frequency of these events. Herein we report on two patients exhibiting delayed type IIIB endoleaks after AFX device insertion to treat an abdominal aortic aneurysm and discuss optimal relining techniques. Keywords: Type III endoleak, EVAR relining, AFX endograft