Key result
Endovascular management using a fenestrated aortic cuff, main body graft extension, and an aortouniiliac converter device successfully sealed a combined type I and type III endoleak.
Case Report (n=1)
No
This case demonstrates that complex, combined type I and III endoleaks after EVAR can be successfully managed using sequential endovascular techniques, including fenestrated cuffs and aortouniiliac converters, avoiding the need for open surgery.
May offer endovascular salvage for combined endoleaks without open surgery; leaves open durability and generalizability.
Endovascular aortic repair (EVAR) has become preferable treatment of abdominal aortic aneurysms because of proven mortality reduction as well as complications reduction compared with open surgery. Endoleak remains a primary complication of EVAR, however, and occurs in 20 to 25% of the patients. EVAR patients thus undergo lifelong surveillance for the presence of aneurysm expansion and endoleaks usually via computed tomographic angiography. We describe the endovascular management of an enlarged aneurysmal sac size 3 years after EVAR due to combined endoleak of types 1 and 3. We needed to use a fenestrated aortic cuff, a main body graft extension, and an aortouniiliac converter device to seal the leak. This case highlights the potential challenges in identifying and treating type III endoleaks.
No takes yet. Share an insight, caveat, or question.
Stevo Duvnjak (2015) conducted a case report in Abdominal aortic aneurysm with Type I and Type III endoleaks (n=1). Fenestrated aortic cuff, main body graft extension, and aortouniiliac converter device was evaluated on Sealing of endoleak. Endovascular management using a fenestrated aortic cuff, main body graft extension, and an aortouniiliac converter device successfully sealed a combined type I and type III endoleak.
Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context: