Delayed migration due to shortening of the lower part of AFX endograft's main body in angled fusiform abdominal aortic aneurysm

Katsuhiko Oda; Makoto Takahashi; Naoya Terao; Rina Akanuma; Takahiko Hasegawa; Satoshi Kawatsu

doi:10.1016/j.jvscit.2023.101311

Delayed migration due to shortening of the lower part of AFX endograft's main body in angled fusiform abdominal aortic aneurysm

J Vasc Surg Cases Innov Tech. 2023 Sep 1;9(4):101311. doi: 10.1016/j.jvscit.2023.101311. eCollection 2023 Dec.

Authors

Katsuhiko Oda¹, Makoto Takahashi¹, Naoya Terao¹, Rina Akanuma¹, Takahiko Hasegawa¹, Satoshi Kawatsu¹

Affiliation

¹ Department of Cardiovascular Surgery, Iwate Prefectural Central Hospital, Morioka, Japan.

Abstract

We encountered two fusiform abdominal aortic aneurysm cases with delayed AFX endograft (Endologix Inc) migration >4 years after placement. These cases showed shortening and slight angulation of the main body in the anteroposterior direction. We speculate that the potential mechanism relates to the AFX portion that is easily shortened at the bifurcation of its stent structure. This portion might contribute to delayed migration after slight angulation of the main body. Preoperative three-dimensional computed tomography should be performed from the anteroposterior and lateral views. Although the AFX is useful for narrow bifurcations, one should consider the patient's anatomy before deciding to use an AFX endograft.

Keywords: Abdominal aortic aneurysm; Delayed migration; Endoleak; Prosthetic graft; Stent structure.

Publication types

Case Reports