ArticleFrontiers in surgery2026
Case Report: Hidden danger of stiff guidewire retention: masking effect on distal sealing during EVAR.
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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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Abstract
Completion angiography is generally regarded as confirmation of a successful endovascular aneurysm repair (EVAR). However, this assumption may be misleading under certain circumstances. To our knowledge, there are no detailed reports describing EVAR failure caused by the retention of a stiff guidewire during the final angiogram. This technical oversight may contribute to a false impression of adequate distal sealing, potentially concealing a type Ib endoleak. By presenting this case, we aim to draw attention to this underrecognized intraoperative pitfall as one of the possible contributing factors, illustrate its imaging manifestations, and provide practical lessons for preventing similar complications in future EVAR reinterventions.
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