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Direct insertion of Amplatzer plugs to control lumbar arteries during open repair of type II endoleaks  Kimberly Evans, MD, Anne C. Kim, MD, William C.

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Presentation on theme: "Direct insertion of Amplatzer plugs to control lumbar arteries during open repair of type II endoleaks  Kimberly Evans, MD, Anne C. Kim, MD, William C."— Presentation transcript:

1 Direct insertion of Amplatzer plugs to control lumbar arteries during open repair of type II endoleaks  Kimberly Evans, MD, Anne C. Kim, MD, William C. Pevec, MD  Journal of Vascular Surgery  Volume 55, Issue 6, Pages (June 2012) DOI: /j.jvs Copyright © 2012 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Duplex scan of the endoleak shows the patent lumbar artery (white arrow) arising from the posterior aneurysm sac, between the iliac graft limbs. Bidirectional flow in the lumbar artery is shown in the spectral display. Endoleak flow from posterior to anterior is seen along the left side of the aneurysm sac. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Asymmetric outpouching (white arrow) of the aneurysm sac is seen on a noncontrast computed tomography scan. There is no visible periaortic inflammation. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Amplatzer plugs (arrows) are shown occluding the lumbar arteries. The aortic wall is heavily calcified, with limited space between the iliac graft limbs. The patient's head is to the left. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

5 Fig 4 This postoperative lateral lumbosacral radiograph shows the Amplatzer plugs (arrows) are occluding the lumbar arteries. The Amplatzer plugs appear to be fully expanded in the lumbar arteries. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

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