Key result
Urgent endovascular reintervention successfully treats ruptured iliac aneurysm caused by type IIIa endoleak.
Why the study?
Separation of modular aortic endograft components causing a type IIIa endoleak is a rare and life-threatening complication of EVAR.
Case Report (n=1)
Answers are grounded in this paper and cite their sources.
Highlights that spontaneous type IIIa endoleak causing iliac aneurysm rupture can occur years after EVAR and can be successfully treated with urgent endovascular reintervention.
Unstructured abstract Separation of modular aortic endograft components resulting in a type IIIa endoleak is a rare and life-threatening complication of endovascular aneurysm repair (EVAR). Herein is reported a case of spontaneous type IIIa endoleak causing rupture of a right common iliac aneurysm in an 88-year-old man years after EVAR, identified during a rapid response called for hypotension while hospitalized for an unrelated condition. The patient was successfully managed with urgent endovascular reintervention without post-operative complication.
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Walker et al. (2026) conducted a case report in Spontaneous type IIIa endoleak causing rupture of a right common iliac aneurysm years after EVAR (n=1). Urgent endovascular reintervention was evaluated on Successful management without post-operative complication. Urgent endovascular reintervention successfully managed a ruptured right common iliac aneurysm caused by a type IIIa endoleak in an 88-year-old man without post-operative complications.
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