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Fig. 1 | CVIR Endovascular

Fig. 1

From: Enlarging aneurysm sac post EVAR – type V or occult type II Endoleak?

Fig. 1

a—longitudinal view of the aneurysm sac with a central anechoic component surrounded by echogenic thrombus. The components of the Nellix endograft are seen deep to this. b – The endograft is patent with no endoleak identified. c – US guided direct puncture of central anechoic component of the aneurysm sac. d – Contrast injection into the aneurysm sac fills the fluid component without any retrograde flow into the aortic/iliac branches

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