Aortic banding may be an effective and less invasive treatment option for type IA endoleaks after EVAR, particularly in high-risk patients with poor renal function who are poor candidates for aortic grafting.
Aortic banding may resolve type IA endoleak after EVAR in high-risk patients; leaves open durability and role versus reintervention.
A 69-year-old man with a type IA endoleak that developed approximately 21 months after endovascular abdominal aortic aneurysm repair (EVAR) of a 46 mm diameter aneurysm was referred to our department. He had impaired renal function, Parkinson's disease, and previous cerebral infarction. Computed tomography angiography showed a type IA endoleak with neck dilatation and that the aneurysm had grown to 60 mm in diameter. We decided to perform aortic banding. The type IA endoleak disappeared after banding and the patient was discharged on postoperative day 10. Aortic banding may be effective for type IA endoleak after EVAR and less invasive for high-risk patients in particular.
No takes yet. Share an insight, caveat, or question.
Tashima et al. (2017) studied this question.
Synapse has enriched one closely related paper. Consider it for comparative context: