Kato Hiroaki, Kato Noriyuki, Nakajima Ken, Higashigawa Takatoshi, Ouchi Takafumi, Chino Shuji, Sakuma Hajime
Department of Radiology, Mie University Hospital, Tsu, Mie, Japan.
Department of Radiology, Ise Red Cross Hospital, Ise, Mie, Japan.
Ann Vasc Dis. 2020 Jun 25;13(2):180-182. doi: 10.3400/avd.cr.19-00110.
Endoleak is a major complication of endovascular aneurysm repair (EVAR). Type IIIb endoleaks, which are caused by endograft fabric disruption, are relatively rare. Although relining of the previously placed endograft with another main endograft is considered an ideal approach, it is sometimes difficult. The efficacy of parallel placement of Excluder legs has been reported in various settings. Here, we report the successful treatment of a type IIIb endoleak with parallel placement of Excluder legs during EVAR by using an AFX2 device.
内漏是血管内动脉瘤修复术（EVAR）的主要并发症。由血管内移植物织物破裂引起的Ⅲb型内漏相对少见。尽管用另一个主血管内移植物对先前放置的血管内移植物进行重新内衬被认为是一种理想的方法，但有时很难实现。在各种情况下，均已报道了Excluderer分支腿平行放置的有效性。在此，我们报告了在EVAR期间使用AFX2装置通过Excluder腿平行放置成功治疗Ⅲb型内漏的病例。
