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Endovascular repair using an AFX cuff for stent graft induced new entry involved visceral artery
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  • Takayuki Kadohama,
  • kentaro kiryu,
  • Daichi Takagi,
  • Genbu Yamaura,
  • Fuminobu Tanaka,
  • Yoshinori Itagaki,
  • Takeshi Arai,
  • Takuya Wada,
  • Itaru Igarashi,
  • Hiroshi Yamamoto
Takayuki Kadohama
Akita University
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kentaro kiryu
Akita University Graduate School of Medicine School of Medicine
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Daichi Takagi
Akita University
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Genbu Yamaura
Akita University Graduate School of Medicine School of Medicine Department of Cardiovascular Surgery
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Fuminobu Tanaka
Akita University Graduate School of Medicine School of Medicine Department of Cardiovascular Surgery, Akita University
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Yoshinori Itagaki
Akita University Graduate School of Medicine School of Medicine
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Takeshi Arai
Akita University
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Takuya Wada
Akita University Graduate School of Medicine School of Medicine Department of Cardiovascular Surgery
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Itaru Igarashi
Akita University Graduate School of Medicine School of Medicine Department of Cardiovascular Surgery
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Hiroshi Yamamoto
Akita University Graduate School of Medicine
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Abstract

We encountered a challenging case of endovascular repair for distal stent graft-induced new entry (SINE) using the AFX aortic cuff. Distal SINE was detected on follow-up computed tomography in a 68-year-old man who previously underwent primary thoracic endovascular aortic repair for Stanford type B chronic aortic dissection. The AFX aortic cuff was deployed via a previous endograft to just above the super mesenteric artery with blockage of the celiac artery origin. Postoperative computed tomography revealed no endoleak with a preferable conformation change of the externally mounted graft material of the AFX cuff against the tear (active-seal fixation).