Key result
Axillary internal branched device successfully seals type Ib endoleak while preserving internal iliac artery patency.
Why the study?
Re-interventions following EVAR are more common than with open surgical repair, and optimal techniques for type Ib endoleak after aorto-uni-lateral EVAR need clarification.
Does the internal branched device (IBD) safely and effectively treat type Ib endoleak following aorto-uni-lateral EVAR?
Case Report (n=1)
No
Does the internal branched device (IBD) safely and effectively treat type Ib endoleak following aorto-uni-lateral EVAR?
The internal branched device (IBD) may be a safe and effective endovascular option for treating type Ib endoleaks after aorto-uni-lateral EVAR.
Individualized endovascular, open or hybrid repair may address type Ib endoleak after aorto-uni-lateral EVAR; leaves open optimal technique selection.
In the modern endovascular era, abdominal aortic aneurysm repair is still not free of complications with re-interventions following endovascular aneurysm repair (EVAR) being more common than with open surgical repair. A variety of endovascular, open surgical and combined techniques were described according to the anatomical considerations and general health of the patient to achieve the best possible result after these complications. In cases of type Ib endoleak following aorto-uni-lateral EVAR for an abdominal aortic aneurysm, the use of the internal branched device (IBD) constitutes a safe and effective technique.
No takes yet. Share an insight, caveat, or question.
Vourliotakis et al. (2016) conducted a case report in Type Ib endoleak after EVAR (n=1). Internal branched device (IBD) was evaluated on Absence of endoleak and patent hypogastric blood flow. Endovascular treatment of a type Ib endoleak using an internal branched device from an axillary approach successfully preserved the internal iliac artery with no endoleak at 6 weeks.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: