A Technique of "Chimney Nellix" for the Management of Type 1a Endoleak After EVAR

作者：Joseph, Simon Z.^*; Kwok, C. H. Ricky; Hockley, Joseph A.; Garbowski, Marek W.; Ferguson, John; Samuelson, Shaun; Jansen, Shirley J.

来源：Journal of Vascular and Interventional Radiology, 2018, 29(5): 623-627.

DOI：10.1016/j.jvir.2017.10.022

• ANEURYSM REPAIR
• SEALING DEVICE
• LA ENDOLEAK

This report presents 3 procedures with visceral "chimney stenting" in conjunction with an endovascular aneurysm sealing (EVAS) device, known as chEVAS, for treatment of type la endoleak. It includes the first published chEVAS in a patient with previous fenestrated endovascular aneurysm repair (FEVAR). Cases include an 80-year-old man 8 years after FEVAR for a juxtarenal abdominal aortic aneurysm (AAA); an 85-year-old woman 9 months after endovascular aneurysm repair (EVAR) for a ruptured infrarenal AAA; and an 84-year-old woman 3 months after EVAR for a symptomatic infrarenal AAA. Technical success was achieved in all cases, with 1 postoperative death. The remaining 2 patients had no residual type la endoleak at 10 and 14 months respectively.

• 出版日期2018-5
• 单位河北医科大学