| CASE REPORT |
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| Year : 2016 | Volume
: 5
| Issue : 2 | Page : 1 |
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Billowing of endologix powerlink stent mimicking endoleaks
Alex Wu1, Karunakaravel Karuppasamy1, Weiping Wang2
1 Imaging Institute, Cleveland Clinic, Cleveland, USA
2 Department of Radiology, Mayo Clinic, Jacksonville, USA
Correspondence Address:
Weiping Wang
Department of Radiology, Mayo Clinic, Jacksonville
USA
 Source of Support: None, Conflict of Interest: None  | 2 |
DOI: 10.5812/cardiovascmed.32448
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Introduction: Endoleaks remains one of the primary concerns of endovascular aortic aneurysm repair (EVAR) and is routinely followed with CT angiography (CTA). However, certain imaging findings can mimic endoleaks.
Case Presentation: A 65-year-old woman who had endovascular aortic repair (EVAR) of an abdominal aortic aneurysm with Endologix Powerlink system developed marked new circumferential cauliflower-like bulging of contrast-filled sacs at mid-stent-graft with enlargement of the excluded aneurysm at 3-year follow-up.
Conclusions: Considering the unique construct of the Powerlink stents, this is thought to represent aneurysmal degeneration of the outer fabric material from the metal struts and may potentially pressurize the excluded sac with risk for rupture.
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