Parallel Placement of Excluder Legs for the Treatment of a Type IIIb Endoleak Using AFX2

Hiroaki Kato; Noriyuki Kato; Ken Nakajima; Takatoshi Higashigawa; Takafumi Ouchi; Shuji Chino; Hajime Sakuma

doi:10.3400/avd.cr.19-00110

Parallel Placement of Excluder Legs for the Treatment of a Type IIIb Endoleak Using AFX2

Ann Vasc Dis. 2020 Jun 25;13(2):180-182. doi: 10.3400/avd.cr.19-00110.

Authors

Hiroaki Kato¹, Noriyuki Kato¹, Ken Nakajima², Takatoshi Higashigawa¹, Takafumi Ouchi¹, Shuji Chino², Hajime Sakuma¹

Affiliations

¹ Department of Radiology, Mie University Hospital, Tsu, Mie, Japan.
² Department of Radiology, Ise Red Cross Hospital, Ise, Mie, Japan.

Abstract

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.

Keywords: complications; endovascular aneurysm repair (EVAR); type IIIb endoleak.