Presentation is loading. Please wait.

Presentation is loading. Please wait.

Periprosthetic leak and rupture after endovascular repair of abdominal aortic aneurysm: The significance of device design for long-term results  Kirsten.

Published byLaureen Gardner Modified over 6 years ago

Similar presentations

Presentation on theme: "Periprosthetic leak and rupture after endovascular repair of abdominal aortic aneurysm: The significance of device design for long-term results  Kirsten."— Presentation transcript:

1 Periprosthetic leak and rupture after endovascular repair of abdominal aortic aneurysm: The significance of device design for long-term results  Kirsten Krohg-Sørensen, MD, PhD, Magne Brekke, MD, Anders Drolsum, MD, Knut Kvernebo, MD, PhD  Journal of Vascular Surgery  Volume 29, Issue 6, Pages (June 1999) DOI: /S (99) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 Preoperative angiogram (A) and completion angiogram (B) after primary treatment with Vanguard bifurcated endovascular aortic graft (Boston Scientific Corporation, Paris, France). Note proximal V-shaped marker of stent graft close to right renal artery. Journal of Vascular Surgery  , DOI: ( /S (99) ) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Computed tomographic scans at (A) 9 months and (B) 12 months showing increased periprosthetic leak from tear in prosthesis and increased aneurysm diameter. Journal of Vascular Surgery  , DOI: ( /S (99) ) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 3 Angiogram at ( A) anteroposterior and (B) side view after 12 months showing periprosthetic leak caused by tear in prosthesis. On (B) side view, blood stream from tear in posterior of prosthesis can be seen. There is no sign of migration because markers of stent graft are unchanged as compared with Fig 1A. Leak was sealed with tube stent graft, and position of this inside the body of bifurcation can be seen by comparing the metal markers of B and C. Proximal marker of tube graft is on anterior of graft and in line with the most proximal marker of bifurcated stent, and distal marker of tube is on the posterior and a little proximal to markers of junction of second limb. Journal of Vascular Surgery  , DOI: ( /S (99) ) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 Fig. 4 Computed tomographic scan 3 months after embolization of lumbar arteries with backflow. There is still small backflow from right lumbar artery through coils. Journal of Vascular Surgery  , DOI: ( /S (99) ) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

6 Fig. 5 Computed tomographic scan after 20 months. Periprosthetic leak is related to connection between second limb and bifurcation. Size of aneurysm has increased to 100 mm, and there is rupture with retroperitoneal hematoma. Journal of Vascular Surgery  , DOI: ( /S (99) ) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

7 Fig. 6 Explanted endovascular aortic graft. V-formed tear of polyester prosthesis was adjacent to V-formed shape of underlying nitinol wire. At this point, the suture connecting wire to more caudal zigzag wire was broken, allowing the two struts to move separately. Journal of Vascular Surgery  , DOI: ( /S (99) ) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Download ppt "Periprosthetic leak and rupture after endovascular repair of abdominal aortic aneurysm: The significance of device design for long-term results  Kirsten."

Similar presentations

Jon S. Matsumura, MD, Wesley S. Moore, MD  Journal of Vascular Surgery 

Jon S. Matsumura, MD, Wesley S. Moore, MD  Journal of Vascular Surgery 
Computed tomographic angiographic imaging of abdominal aortic aneurysms: Implications for transfemoral endovascular aneurysm management  Ron Balm, MD,

Computed tomographic angiographic imaging of abdominal aortic aneurysms: Implications for transfemoral endovascular aneurysm management  Ron Balm, MD,
Modular component separation and reperfusion of abdominal aortic aneurysm sac after endovascular repair of the abdominal aortic aneurysm: A case report 

Modular component separation and reperfusion of abdominal aortic aneurysm sac after endovascular repair of the abdominal aortic aneurysm: A case report 
Mechanical failure of prosthetic human implants: A 10-year experience with aortic stent graft devices  Tikva S. Jacobs, MD, Jamie Won, BS, Edwin C. Gravereaux,

Mechanical failure of prosthetic human implants: A 10-year experience with aortic stent graft devices  Tikva S. Jacobs, MD, Jamie Won, BS, Edwin C. Gravereaux,
Christopher K. Zarins, MD, Rodney A. White, MD, Thomas J. Fogarty, MD 

Christopher K. Zarins, MD, Rodney A. White, MD, Thomas J. Fogarty, MD 
Infected renal artery pseudoaneurysm and mycotic aortic aneurysm after percutaneous transluminal renal artery angioplasty and stent placement in a patient.

Infected renal artery pseudoaneurysm and mycotic aortic aneurysm after percutaneous transluminal renal artery angioplasty and stent placement in a patient.
Adverse consequences of internal iliac artery occlusion during endovascular repair of abdominal aortic aneurysms  Laura A. Karch, MD, Kim J. Hodgson,

Adverse consequences of internal iliac artery occlusion during endovascular repair of abdominal aortic aneurysms  Laura A. Karch, MD, Kim J. Hodgson,
Georgios A. Pitoulias, MD, PhD, Konstantinos P

Georgios A. Pitoulias, MD, PhD, Konstantinos P
Novel technique for endovascular salvage of a folded aortic endograft

Novel technique for endovascular salvage of a folded aortic endograft
The accuracy of computed tomography in the diagnosis of retroperitoneal blood in the presence of abdominal aortic aneurysm  Fredric I. Weinbaum, M.D.,

The accuracy of computed tomography in the diagnosis of retroperitoneal blood in the presence of abdominal aortic aneurysm  Fredric I. Weinbaum, M.D.,
Ruptured internal carotid aneurysm resulting from neurofibromatosis: Treatment with intraluminal stent graft  Bertram L. Smith, MD, Carolyn E. Munschauer,

Ruptured internal carotid aneurysm resulting from neurofibromatosis: Treatment with intraluminal stent graft  Bertram L. Smith, MD, Carolyn E. Munschauer,
Christopher K. Zarins, MD, Rodney A. White, MD, Thomas J. Fogarty, MD 

Christopher K. Zarins, MD, Rodney A. White, MD, Thomas J. Fogarty, MD 
Endovascular treatment of infrarenal abdominal aneurysms by the Stentor system: Preliminary results of 79 cases  Claude Mialhe, MD, Claude Amicabile,

Endovascular treatment of infrarenal abdominal aneurysms by the Stentor system: Preliminary results of 79 cases  Claude Mialhe, MD, Claude Amicabile,
Retroperitoneal endoscopic ligation of lumbar and inferior mesenteric arteries as a treatment of persistent endoleak after endoluminal aortic aneurysm.

Retroperitoneal endoscopic ligation of lumbar and inferior mesenteric arteries as a treatment of persistent endoleak after endoluminal aortic aneurysm.
Safety and effectiveness of the INCRAFT AAA Stent Graft for endovascular repair of abdominal aortic aneurysms  Giovanni Torsello, MD, Dierk Scheinert,

Safety and effectiveness of the INCRAFT AAA Stent Graft for endovascular repair of abdominal aortic aneurysms  Giovanni Torsello, MD, Dierk Scheinert,
Bruce A. Perler, MD, MBA  Journal of Vascular Surgery 

Bruce A. Perler, MD, MBA  Journal of Vascular Surgery 
Andreas M. Lazaris, MD, Anastasios N. Maheras, MD, Spyros N

Andreas M. Lazaris, MD, Anastasios N. Maheras, MD, Spyros N
Bitubular graft as an adjunct for laparoscopic hybrid repair of an abdominal aortic aneurysm  Raphaël Coscas, MD, Clément Capdevila, MD, Olivier Goeau-Brissonniere,

Bitubular graft as an adjunct for laparoscopic hybrid repair of an abdominal aortic aneurysm  Raphaël Coscas, MD, Clément Capdevila, MD, Olivier Goeau-Brissonniere,
Malcolm O. Perry, MD, Richard Kempczinski, MD 

Malcolm O. Perry, MD, Richard Kempczinski, MD 
Preservation of internal iliac arteries during endovascular aneurysm repair using “eye of the tiger” technique  Tariq Almerey, MD, W. Andrew Oldenburg,

Preservation of internal iliac arteries during endovascular aneurysm repair using “eye of the tiger” technique  Tariq Almerey, MD, W. Andrew Oldenburg,

Similar presentations

Ads by Google