Search

Endoleaks remain one of the most common indications for reintervention after endovascular aortic repair. Occasionally, aneurysm sac expansion will occur in the absence of a visible endoleak or due to endotension. We describe a case of continued sac expansion without an identifiable endoleak after endovascular aortic repair. Technical challenges during the case included a short distance from the renal arteries to the flow divider and a significant metal artifact. These challenges were addressed by shortening the gate of a Gore Excluder (W.L. Gore & Associates, Flagstaff, Ariz) to the desired length. The contralateral gate was preloaded to allow for use of the snare-ride technique for gate cannulation and overcome the metal artifact that was hindering visualization.

Aim: The aim of this study was to investigate the short-term results of endovascular repair of abdominal aortic aneurysms with the Endologix IntuiTrak Powerlink XL® (Endologix) stent graft and to share our clinical experiences in our center. Materials and methods: Endovascular stent graft treatment was applied in 16 cases with infrarenal abdominal aortic aneurysm (13 men and 3 women; mean age: 70.2 years) in 2009 and 2010. Before treatment, all of the patients were examined with 128-slice computed tomography (CT) angiography for the assessment of abdominal aortic aneurysms. The Endologix stent graft (bifurcated system) was used for all of the patients. Results: The aneurysms of the 16 patients were located at the infrarenal level. They were treated with aortobiiliac stent grafts. The technical success rate was 100%. No mortality, major complications, or need of urgent conversion to open surgery occurred in any of the patients. Only 1 patient died due to acute coronary syndrome in the early follow-up period and 1 patient was lost in the follow-up period. There were no aneurysm ruptures, graft migrations, or graft fractures in any of the patients. Conclusion: Endovascular treatment of infrarenal aortic aneurysms with the Endologix stent graft has a high degree of technical success and is a useful alternative to surgery. [ABSTRACT FROM AUTHOR]