2009 Volume 18 Issue 6 Pages 619-624
We successfully treated saccular aneurysms of the infrarenal abdominal aorta using the Powerlink endograft system. Preoperative multi-detector row computed tomography (MDCT) revealed that the abdominal aortic aneurysm was of saccular type, with a very narrow terminal aorta, 12 mm in diameter. The other commercially available stent graft devices, Zenith and Excluder, which presently can be used in Japan as authorized by the Ministry of Health, Labour and Welfare, were not suitable for this case, because the narrow terminal aorta made it impossible to access the contralateral leg gate. On the other hand, the Powerlink endograft system has a unique unibody bifurcated design, enabling it to be implanted safely and effectively. After treatment, no graft related endoleak was identified during follow up period.