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Early Enlargement of Aneurysmal Sac and Separation of EndoBags of Nellix Endovascular Aneurysm Sealing System as Signs of Increased Risk of Later Aneurysm Rupture.

Abstract：

:Nellix Endovascular Aneurysm Sealing (EVAS) system is a new concept and technology of abdominal aortic aneurysm (AAA) repair. Elective EVAS using Nellix device was performed for a 83-year-old man with AAA. 2-month post-EVAS CTA surveillance demonstrated mild enlargement of aneurysmal sac and separation of the EndoBags, but without detectable endoleak. The patient developed sudden AAA rupture with retroperitoneal hematoma at about 4 months after EVAS. We postulated that early enlargement of aneurysmal sac and separation of EndoBags of Nellix devices after EVAS, even without detectable endoleak, might indicate significant aneurysmal wall weakening with increased risk of later AAA rupture. To the best of the authors' knowledge, this was the first reported case of aortic rupture after EVAS without detectable endoleak during and after the procedure.

journal_name

Cardiovasc Intervent Radiol

journal_title

Cardiovascular and interventional radiology

authors

Cheng LF,Cheung KF,Chan KM,Ma JKF,Luk WH,Chan MCK,Ng CWK,Mahboobani NR,Ng WK,Wong T

doi

10.1007/s00270-016-1416-0

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

1654-1657

issue

11

eissn

0174-1551

issn

1432-086X

pii

10.1007/s00270-016-1416-0

journal_volume

39

pub_type

杂志文章

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