An endurant ii stent graft system was implanted for the endovascular treatment of a 5.2 cm in diameter abdominal aortic aneurysm.The patient had a short reverse funnel neck measuring 28-31 mm in diameter and 10 mm in length.It was reported that during the index procedure, while ballooning the endurant bifurcate, the stent graft slipped down 3-4 mm.The final angiogram revealed a proximal type i endoleak, the physician implanted an endurant cuff resolving the endoleak.No clinical sequelae were reported and the patient is fine.
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(b)(4).Evaluation, results: inherent risk of procedure (inaccurate delivery, endoleak), patient's condition affected effectiveness of device (anatomy related; ballooning the stent graft within the short and conical proximal neck); evaluation, conclusion: known inherent risk of a procedure (inaccurate delivery, endoleak), device failure/lack of effectiveness related to patient condition (anatomy related; ballooning the stent graft within the short and conical proximal neck).
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