FDA Safety Alert on Endovascular Graft Systems Leaks

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FDA is alerting vascular surgeons about concerns regarding Type IIIa and IIIb endoleaks with the use of endovascular graft systems indicated for aneurysm repair procedures that treat abdominal aortic aneurysms and aorto-iliac aneurysms. In a 9/28 letter to healthcare professionals, FDA says recent information from several sources suggests an increase in the occurrence of Type III endoleaks. “This increase is compared to earlier clinical update reports in patients with various device models and implant duration lengths, including some patients who had previously stable repairs,” the agency letter says. “We are bringing this potential complication to your attention to remind and encourage you to report Type IIIa and IIIb endoleak events to the manufacturer and the FDA. This may include reporting individual events as well as rates you may have experienced in your practice.”

 

FDA considers a Type III endoleak a device-related event that requires treatment with additional interventions such as re-lining, insertion of additional endograft components, or open surgical repair. “Predictors of Type III endoleak may include treatment with early generation graft materials, the presence of calcified plaque, and inadequate overlap between components,” it says.

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