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Disclaimer: www.londomdvdtool.com is only an album search engine of album songs available on Internet. All the albums are for promotional purposes only and Google is not a mail carrier. Google is not responsible for third party websites. All works composed by John Lennon are copyright of John Lennon.A new approach for the treatment of type II endoleaks after endovascular repair of abdominal aortic aneurysms using a self-expanding transarterial stent-graft.
Thromboembolic occlusion of the proximal and distal neck after endovascular treatment of abdominal aortic aneurysms (AAAs) can be a challenging problem. As a solution to this problem, we report our experience using a self-expanding transarterial stent-graft in the treatment of 23 patients with complete thrombosis of type II endoleaks after endovascular repair of their AAAs. This study included 20 men and three women with a mean age of 74.6 years (range, 57-89 years). Aneurysms were located in the infrarenal (n = 18) or supraceliac (n = 5) position, and a mean aneurysm diameter was 6.2 cm (range, 4.3-10.6 cm). Two patients had previously undergone open repair of an AAA. In all cases, the type II endoleak was treated after a primary endovascular procedure using a self-expanding stent-graft. A right common femoral artery access was used in all cases. The Seval stent graft was used in 17 patients (Group 1) and a Zenith stent graft was used in the remaining six patients (Group 2). The treatment strategy consisted of a double-layered stent-graft, with a contrast injection to the distal portion of the stent-graft once the proximal one was in the desired position. In all cases, the stent-graft was successfully placed in the desired position. The procedure was successfully completed in 22 cases. In one case, the placement of the first stent-graft was temporarily interrupted because of catheter kinking. In another case, the distal end of the stent-graft partially detached from the distal landing zone. A fluoroscopic picture showed the stent-graft in the proximal position, with a thrombus inside and a string
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