Journal of Vascular Surgery
Volume 49, Issue 6 , Pages 1409-1415 , June 2009

Original Excluder component overlap from proximal or distal extension during initial repair not correlated with aneurysm sac shrinkage

  • Gale L. Tang, MD

      Affiliations

    • Division of Vascular Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill
    • Division of Vascular Surgery, University of Washington, Seattle, Wash
  • ,
  • Mark F. Fillinger, MD

      Affiliations

    • Division of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Dartmouth, NH
  • ,
  • Jon S. Matsumura, MD

      Affiliations

    • Division of Vascular Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill
    • Corresponding Author InformationReprint requests: Jon S. Matsumura, MD, Division of Vascular Surgery, Northwestern University, 676 N. Saint Clair Street, Suite 650, Chicago, IL 60611

Received 10 December 2008 ,Accepted 14 February 2009.

  • Image Result

    Original Excluder aneurysm sac diameter change not correlated with increased overlap. Length of overlap of patients (n = 67) with baseline overlap from the contralateral gate (white circles) and patie

    Original Excluder aneurysm sac diameter change not correlated with increased overlap. Length of overlap of patients (n = 67) with baseline overlap from the contralateral gate (white circles) and patients (n = 27) with additional overlap from extra components (black squares) plotted against change in aneurysm sac diameter does not show any correlation between increased length of overlap and decrease in aneurysm sac diameter.

  • Image Result
    Original Excluder aneurysm sac volume change not correlated with increased overlap. Length of overlap of patients (n = 67) with baseline overlap from the contralateral gate (white circles) and patient

    Original Excluder aneurysm sac volume change not correlated with increased overlap. Length of overlap of patients (n = 67) with baseline overlap from the contralateral gate (white circles) and patients (n = 26) with additional overlap from extra components (black squares) plotted against change in aneurysm sac volume does not show a correlation between increased length of overlap and decrease in aneurysm sac volume.

  • Image Result
    Percentage aneurysm sac overlap not correlated with sac diameter change. Patients with additional overlap from baseline (n = 26, black squares) who had higher percentage of graft overlap within the an

    Percentage aneurysm sac overlap not correlated with sac diameter change. Patients with additional overlap from baseline (n = 26, black squares) who had higher percentage of graft overlap within the aneurysm sac were not protected from aneurysm sac expansion. They did have a significantly higher percentage of graft overlap (26.2% ± 14.1% vs 18.6% ± 5.5%, P = .0097) than patients with baseline overlap from the contralateral gate (white circles). Few patients had extensive graft overlap.

 Competition of interest: Dr Fillinger has grant, research, or consulting relationships with W.L. Gore & Associates, Medtronic, and Preview M2S. Dr Matsumura has grant, research, or consulting relationships with W.L. Gore & Associates, Medtronic, Cook, Cordis, ev3, Lumen, Bard, and Abbott Vascular.

PII: S0741-5214(09)00491-1

doi: 10.1016/j.jvs.2009.02.209

Journal of Vascular Surgery
Volume 49, Issue 6 , Pages 1409-1415 , June 2009