ArticleVascular specialist international2023
Late Type III Endoleak after Loss of Component Overlap after EVAR with AFX2 Device: A Case Report.
Article in Vascular specialist international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed, 3 citations in OpenAlex.
- Long-term clinical outcomes of type 2 endoleak intervention and the crucial role of additional endoleak development after endovascular aneurysm repair: a single-center retrospective observational cohort study.Annals of surgical treatment and research · 2025Article
- Endovascular Salvage of Iliac Limb Maldeployment during EVAR Using a CODA Balloon and Bridging Stent: A Case Report.Vascular specialist international · 2025Article
- Endotension Following Endovascular Aneurysm Repair: Retrospective Review of Treatment and Clinical Outcome.Vascular specialist international · 2024Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Addressing the high incidence of late type III endoleaks in previous AFX models, Endologix upgraded the device material and updated its recommendation regarding component overlap. However, whether upgraded AFX2 models are safe for endoleaks remains controversial. Here we report a case of a 67-year-old male with an AFX2-implanted abdominal aortic aneurysm experiencing a delayed type IIIa endoleak. Aneurysmal sac enlargement occurred 36 months post-endovascular aneurysm repair (EVAR), with a computed tomography scan at 52 months revealing component overlap loss and a significant type IIIa endoleak. We performed endograft explantation and endoaneurysmal aorto-bi-iliac interposition grafting. Our findings suggest that sufficient component overlap is necessary when using an AFX2 endograft outside the manufacturer's instructions for use to prevent late type IIIa endoleaks. Moreover, patients who undergo EVAR with AFX2 for tortuous large aortic aneurysms should be carefully monitored for conformational changes.
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