Diagnosis and relining techniques for delayed type IIIB endoleaks with the second-generation AFX endograft

Gary Lemmon, MD; Andrew Barleben, MD; Peter Nelson, MD, MS; H. Edward Garrett, Jr., MD

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

Gary Lemmon, MD,
Andrew Barleben, MD,
Peter Nelson, MD, MS,
H. Edward Garrett, Jr., MD

Affiliations

Gary Lemmon, MD: Division of Vascular Surgery, Department of General Surgery, Indiana University, Indianapolis, Ind; Correspondence: Gary Lemmon, MD, Division of Vascular Surgery, Department of General Surgery, Indiana University School of Medicine, 1801 North Senate Ave, Indianapolis, IN 46202
Andrew Barleben, MD: Division of Vascular and Endovascular Surgery, Sulpizio Cardiovascular Center, University of California-San Diego School of Medicine, La Jolla, Calif
Peter Nelson, MD, MS: Department of Surgery, University of Oklahoma, Tulsa, Okla
H. Edward Garrett, Jr., MD: Division of Vascular Surgery, University of Tennessee, Memphis, Tenn

Journal volume & issue: Vol. 5, no. 1
pp. 51 – 53

Abstract

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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

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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