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Original Excluder component overlap from proximal or distal extension during initial repair not correlated with aneurysm sac shrinkage
Journal of Vascular Surgery, 06/04/09
Tang GL et al. - Partial graft overlap involving multiple original components from proximal and distal extensions is not protective against aneurysm sac expansion due to transgraft ultrafiltration. This suggests that transgraft ultrafiltration is not impeded by having partial double layers of original material. All patients who received the original Excluder and have late aneurysm sac expansion in the absence of endoleak should have as complete relining as feasible with low permeability components if sac shrinkage is the surrogate goal.
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