Journal of Vascular Surgery
Volume 47, Issue 4 , Pages 702-707 , April 2008

Device-specific aneurysm sac morphology after endovascular aneurysm repair: Evaluation of contemporary graft materials

Presented at the Spring 2007 Peripheral Vascular Surgery Society Meeting, Baltimore, Md, Jun 7-10, 2007.

  • Harshal S. Broker, MD

      Affiliations

    • University of Texas Southwestern Medical Center at Dallas, Dallas, Tex
    • ,
  • Kousta I. Foteh, MD

      Affiliations

    • University of Texas Southwestern Medical Center at Dallas, Dallas, Tex
    • ,
  • Erin H. Murphy, MD

      Affiliations

    • University of Texas Southwestern Medical Center at Dallas, Dallas, Tex
    • ,
  • Charles M. Davis, BS

      Affiliations

    • University of Texas Southwestern Medical Center at Dallas, Dallas, Tex
    • ,
  • G. Patrick Clagett, MD

      Affiliations

    • University of Texas Southwestern Medical Center at Dallas, Dallas, Tex
    • ,
  • J. Gregory Modrall, MD

      Affiliations

    • University of Texas Southwestern Medical Center at Dallas, Dallas, Tex
    • ,
  • Clifford J. Buckley, MD

      Affiliations

    • Scott & White Memorial Hospital, Temple, Tex.
    • ,
  • Frank R. Arko, MD

      Affiliations

    • University of Texas Southwestern Medical Center at Dallas, Dallas, Tex
    • Corresponding Author InformationReprint requests: Frank R. Arko, MD, Chief, Endovascular Surgery, UT Southwestern Medical Center, 5909 Harry Hines Blvd, Dallas, TX 75390.

Received 5 June 2007 ,Accepted 18 November 2007.

References 

  1. Haider S, Najjar S, Cho J, Rhee R, Eskandari MK, Matsumura JS, et al. Sac behavior after aneurysm treatment with the Gore Excluder low-permeability aortic endoprosthesis: 12-month comparison to the original Excluder device. J Vasc Surg. 2006;44:694–700
  2. Sternbergh WC, Conners MS, Tonnessen BH, Carter G, Money SR. Aortic aneurysm sac shrinkage after endovascular repair is device dependent: a comparison of Zenith and AneuRx endografts. Ann Vasc Surg. 2004;17:49–53
  3. Greenberg RK, Deaton D, Sullivan T, Walker E, Lyden SP, Srivastava SD, et al. Variable sac behavior after repair of abdominal aortic aneurysm: analysis of core laboratory data. J Vasc Surg. 2004;39:95–101
  4. Rhee RY, Eskandari MK, Zajko AB, Makaroun MS. Long-term fate of the aneurysmal sac after endoluminal exclusion of abdominal aortic aneurysms. J Vasc Surg. 2000;32:689–696
  5. Van Der Laan MJ, Prinssen M, Bertges D, Makaroun MS, Blankensteijn JD. Does the type of endograft affect AAA volume change after endovascular aneurysm repair?. J Endovasc Ther. 2003;10:406–410
  6. Mennander A, Pimenoff G, Heikkinen M, Partio T, Zeitlin R, Salenius JP. Nonoperative approach to endotension. J Vasc Surg. 2005;42:194–198
  7. Ouriel K, Clair DG, Greenberg RK, Lyden SP, O’Hara PJ, Sarac TP, et al. Endovascular repair of abdominal aortic aneurysms: device specific outcome. J Vasc Surg. 2003;37;:991–998
  8. Chaikof EL, Blankensteijn JD, Harris PL, White GH, Zarins CK, Bernhard VM, et al. Ad Hoc Committee for Standardized Reporting practices in Vascular Surgery of The Society for Vascular Surgery/American Association for Vascular Surgery Reporting standards for endovascular aortic aneurysm repair. J Vasc Surg. 2002;35:1048–1060
  9. Cho J, Dillavou E, Rhee R, Makaroun M. Late abdominal aortic aneurysm enlargement after endovascular repair with the Excluder device. J Vasc Surg. 2004;39:1236–1242
  10. Goodney P, Fillinger M. The effect of endograft relining on sac regression after endovascular aneurysm repair with the original-permeability Gore Excluder abdominal aortic aneurysm endoprosthesis. J Vasc Surg. 2007;45:686–693
  11. Matsumura JS. Microleaks, ultrafiltration and endotension: what to do about them. http://www.veithsymposium.org/pdf2005/84.pdfAccessed Nov 14, 2007
  12. Matsumura JS, Ryu RK, Oriel K. Identificantion and implications of transgraft microleaks after endovascular repair of aortic aneurysms. J Vasc Surg. 2001;34:190–197
  13. Fillinger M. Three dimensional analysis of enlarging aneurysms after endovascular abdominal aortic aneurysm repair in the Gore Exluder Pivitol clinical trial. J Vasc Surg. 2006;43:888–895
  14. Sternbergh WC3rd, Money SR, Greenberg RK, Chuter TA Zenith Investigators. Influence of endograft oversizing on device migration, endoleak, aneurysm shrinkage, and aortic neck dilation: results from the Zenith multicenter trial. J Vasc Surg. 2004;39:20–26
  15. Sheehan MK, Ouriel K, Greenberg R, McCann R, Murphy M, Fillinger M, et al. Are type II endoleaks after endovascular aneurysm repair endograft dependent?. J Vasc Surg. 2006;43:657–661
  16. Melissiano G, Bertoglio L, Esposito G, Civilini E, Setacci F, Chiesa R. Midterm clinical success and behavior of the aneurysm sac after endovascular AAA repair wit the Excluder graft. J Vasc Surg. 2005;42:1052–1057
  17. Love M, Wray A, Worthington M, Ellis P. Failure of aneurysm sac shrinkage after endovascular repair; the effect of mural calcification. Clin Rad. 2005;60:1290–1294

 Competition of interest: Frank R. Arko has received educational grants from Medtronic and Cook Inc and research grants from Medtronic. Frank R. Arko has received educational grants from W. L. Gore & Associates.

PII: S0741-5214(07)01897-6

doi: 10.1016/j.jvs.2007.11.049

Journal of Vascular Surgery
Volume 47, Issue 4 , Pages 702-707 , April 2008

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