Aortic aneurysm management results through one year with a conformable neck sealing endograft and preemptive sac embolization with shape memory polymer devices
Management of abdominal aortic aneurysm includes reducing the incidence of endoleaks and promoting sac regression. Sac embolization has been shown to promote regression but alone may not adequately address type II endoleak risk. We present three cases with challenging anatomy and follow-up data thro...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-02-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724002405 |
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| author | Dipankar Mukherjee, MD Jihui Li, MD, PhD David Spinosa, MD |
| author_facet | Dipankar Mukherjee, MD Jihui Li, MD, PhD David Spinosa, MD |
| author_sort | Dipankar Mukherjee, MD |
| collection | DOAJ |
| description | Management of abdominal aortic aneurysm includes reducing the incidence of endoleaks and promoting sac regression. Sac embolization has been shown to promote regression but alone may not adequately address type II endoleak risk. We present three cases with challenging anatomy and follow-up data through 12 months after treatment. Patients were treated with endografts, and shape memory polymer embolization plugs were used to embolize the residual lumen volume outside of the endograft during the procedure. Follow-up imaging indicates that this procedure was used successfully in these patients. None of the patients developed sac expansion or developed type II endoleaks. |
| format | Article |
| id | doaj-art-f33db1f4a3b04fc99c968fabb912b0bf |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-f33db1f4a3b04fc99c968fabb912b0bf2025-01-20T04:17:41ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-02-01111101656Aortic aneurysm management results through one year with a conformable neck sealing endograft and preemptive sac embolization with shape memory polymer devicesDipankar Mukherjee, MD0Jihui Li, MD, PhD1David Spinosa, MD2Department of Surgery, Vascular Surgery, Inova Fairfax Medical Campus, Fairfax; Correspondence: Dipankar Mukherjee, MD, Department of Surgery, Vascular Surgery, Inova Fairfax Medical Campus, 8081 Innovation Park Dr 800, Fairfax, VA 22031Advanced 3D Technology Lab, Inova Fairfax Hospital, FairfaxDepartment of Interventional and Diagnostic Radiology, Inova Fairfax Medical Campus, FairfaxManagement of abdominal aortic aneurysm includes reducing the incidence of endoleaks and promoting sac regression. Sac embolization has been shown to promote regression but alone may not adequately address type II endoleak risk. We present three cases with challenging anatomy and follow-up data through 12 months after treatment. Patients were treated with endografts, and shape memory polymer embolization plugs were used to embolize the residual lumen volume outside of the endograft during the procedure. Follow-up imaging indicates that this procedure was used successfully in these patients. None of the patients developed sac expansion or developed type II endoleaks.http://www.sciencedirect.com/science/article/pii/S2468428724002405Endovascular aneurysm repairEndoleak preventionSac shrinkage |
| spellingShingle | Dipankar Mukherjee, MD Jihui Li, MD, PhD David Spinosa, MD Aortic aneurysm management results through one year with a conformable neck sealing endograft and preemptive sac embolization with shape memory polymer devices Journal of Vascular Surgery Cases and Innovative Techniques Endovascular aneurysm repair Endoleak prevention Sac shrinkage |
| title | Aortic aneurysm management results through one year with a conformable neck sealing endograft and preemptive sac embolization with shape memory polymer devices |
| title_full | Aortic aneurysm management results through one year with a conformable neck sealing endograft and preemptive sac embolization with shape memory polymer devices |
| title_fullStr | Aortic aneurysm management results through one year with a conformable neck sealing endograft and preemptive sac embolization with shape memory polymer devices |
| title_full_unstemmed | Aortic aneurysm management results through one year with a conformable neck sealing endograft and preemptive sac embolization with shape memory polymer devices |
| title_short | Aortic aneurysm management results through one year with a conformable neck sealing endograft and preemptive sac embolization with shape memory polymer devices |
| title_sort | aortic aneurysm management results through one year with a conformable neck sealing endograft and preemptive sac embolization with shape memory polymer devices |
| topic | Endovascular aneurysm repair Endoleak prevention Sac shrinkage |
| url | http://www.sciencedirect.com/science/article/pii/S2468428724002405 |
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