Successful Treatment of Type 3b Endoleak after AFX Using TREO.

IF 0.6 Q4 PERIPHERAL VASCULAR DISEASE
Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-06-05 DOI:10.3400/avd.cr.25-00016
Tobuhiro Nita, Hironori Baba, Yuji Hironaka, Gen Shinohara, Yoshie Ochiai, Shigehiko Tokunaga
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引用次数: 0

Abstract

Late postoperative type 3 endoleaks associated with the AFX (Endologix, Irvine, CA, USA) stent-graft are commonly reported. The AFX's endoskeletal design raises concerns about wire entrapment between its frame and fabric, as well as a risk of type 1a endoleak. An 84-year-old man with prior EVAR using the AFX presented with a type 3b endoleak 4 years postoperatively. He underwent relining with the TREO stent-graft (Terumo Aortic, Sunrise, FL, USA), which enabled easy contralateral gate cannulation and secured a long proximal landing zone. The TREO appears to be a viable option for relining the AFX in type 3b endoleak cases.

TREO成功治疗AFX术后3b型腔漏。
通常报道AFX (Endologix, Irvine, CA, USA)支架移植相关的术后晚期3型内漏。AFX的内骨骼设计引起了人们对其框架和织物之间的金属丝夹带以及1a型内漏风险的担忧。一名84岁男性,先前使用AFX进行EVAR,术后4年出现3b型内漏。他接受了TREO支架移植(Terumo Aortic, Sunrise, FL, USA),这使得对侧门静脉插管变得容易,并确保了较长的近端着陆区。TREO似乎是在3b型内漏病例中修复AFX的可行选择。
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来源期刊
Annals of vascular diseases
Annals of vascular diseases PERIPHERAL VASCULAR DISEASE-
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