Delayed migration due to shortening of the lower part of AFX endograft's main body in angled fusiform abdominal aortic aneurysm

We encountered two fusiform abdominal aortic aneurysm cases with delayed AFX endograft (Endologix Inc) migration >4 years after placement. These cases showed shortening and slight angulation of the main body in the anteroposterior direction. We speculate that the potential mechanism relates to th...

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Autores principales: Oda, Katsuhiko, Takahashi, Makoto, Terao, Naoya, Akanuma, Rina, Hasegawa, Takahiko, Kawatsu, Satoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Case report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10520527/
https://www.ncbi.nlm.nih.gov/pubmed/37767353
http://dx.doi.org/10.1016/j.jvscit.2023.101311
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author Oda, Katsuhiko
Takahashi, Makoto
Terao, Naoya
Akanuma, Rina
Hasegawa, Takahiko
Kawatsu, Satoshi
author_facet Oda, Katsuhiko
Takahashi, Makoto
Terao, Naoya
Akanuma, Rina
Hasegawa, Takahiko
Kawatsu, Satoshi
author_sort Oda, Katsuhiko
collection PubMed
description We encountered two fusiform abdominal aortic aneurysm cases with delayed AFX endograft (Endologix Inc) migration >4 years after placement. These cases showed shortening and slight angulation of the main body in the anteroposterior direction. We speculate that the potential mechanism relates to the AFX portion that is easily shortened at the bifurcation of its stent structure. This portion might contribute to delayed migration after slight angulation of the main body. Preoperative three-dimensional computed tomography should be performed from the anteroposterior and lateral views. Although the AFX is useful for narrow bifurcations, one should consider the patient's anatomy before deciding to use an AFX endograft.
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spelling pubmed-105205272023-09-27 Delayed migration due to shortening of the lower part of AFX endograft's main body in angled fusiform abdominal aortic aneurysm Oda, Katsuhiko Takahashi, Makoto Terao, Naoya Akanuma, Rina Hasegawa, Takahiko Kawatsu, Satoshi J Vasc Surg Cases Innov Tech Case report We encountered two fusiform abdominal aortic aneurysm cases with delayed AFX endograft (Endologix Inc) migration >4 years after placement. These cases showed shortening and slight angulation of the main body in the anteroposterior direction. We speculate that the potential mechanism relates to the AFX portion that is easily shortened at the bifurcation of its stent structure. This portion might contribute to delayed migration after slight angulation of the main body. Preoperative three-dimensional computed tomography should be performed from the anteroposterior and lateral views. Although the AFX is useful for narrow bifurcations, one should consider the patient's anatomy before deciding to use an AFX endograft. Elsevier 2023-09-01 /pmc/articles/PMC10520527/ /pubmed/37767353 http://dx.doi.org/10.1016/j.jvscit.2023.101311 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case report
Oda, Katsuhiko
Takahashi, Makoto
Terao, Naoya
Akanuma, Rina
Hasegawa, Takahiko
Kawatsu, Satoshi
Delayed migration due to shortening of the lower part of AFX endograft's main body in angled fusiform abdominal aortic aneurysm
title Delayed migration due to shortening of the lower part of AFX endograft's main body in angled fusiform abdominal aortic aneurysm
title_full Delayed migration due to shortening of the lower part of AFX endograft's main body in angled fusiform abdominal aortic aneurysm
title_fullStr Delayed migration due to shortening of the lower part of AFX endograft's main body in angled fusiform abdominal aortic aneurysm
title_full_unstemmed Delayed migration due to shortening of the lower part of AFX endograft's main body in angled fusiform abdominal aortic aneurysm
title_short Delayed migration due to shortening of the lower part of AFX endograft's main body in angled fusiform abdominal aortic aneurysm
title_sort delayed migration due to shortening of the lower part of afx endograft's main body in angled fusiform abdominal aortic aneurysm
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10520527/
https://www.ncbi.nlm.nih.gov/pubmed/37767353
http://dx.doi.org/10.1016/j.jvscit.2023.101311
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