Key result
Endovascular repair successfully treated a late abdominal aortic aneurysm rupture 20 months after initial endoluminal stent-grafting.
Why the study?
Is endovascular repair feasible and successful for a ruptured abdominal aortic aneurysm previously treated with an endoluminal stent-graft?
Case Report (n=1)
Is endovascular repair feasible and successful for a ruptured abdominal aortic aneurysm previously treated with an endoluminal stent-graft?
Endovascular techniques can be successfully utilized to treat late ruptures of abdominal aortic aneurysms following previous endoluminal stent-grafting.
May support endovascular salvage for late post-EVAR rupture in select cases; hypothesis-generating and should not yet change practice.
PURPOSE: To demonstrate the feasibility of endovascular repair of a ruptured abdominal aortic aneurysm (AAA) previously treated with an endoluminal stent-graft. CASE REPORT: An 84-year-old man with a 9.5-cm AAA underwent endoluminal repair with an Endologix stent-graft, but a type I endoleak was detected postprocedurally. The patient was discharged and lost to follow-up. Twenty months later, he suffered an aneurysm rupture, which was repaired using endovascular techniques. Although he had a postoperative course complicated by aspiration pneumonia and renal failure, he recovered fully and was discharged from the hospital with no evidence of endoleak on the postprocedural imaging studies. CONCLUSIONS: Late ruptures after endoluminal AAA stent-grafting can be successfully treated with endovascular techniques.
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Ramaiah et al. (2001) conducted a case report in Ruptured abdominal aortic aneurysm (AAA) previously treated with an endoluminal stent-graft (n=1). Endovascular repair was evaluated on Feasibility and success of endovascular repair. Endovascular repair successfully treated a late abdominal aortic aneurysm rupture 20 months after initial endoluminal stent-grafting.
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