Repair of a late endoleak following complete proximal endograft fixation strut separation

oleh: Paul Ghaly, MBBS, Jim Iliopoulos, BSc(Med) MBBS, PhD, Glen Schlaphoff, MBBCh, Mehtab Ahmad, BMedSci(Hons), MBChB, MD

Format: Article
Diterbitkan: Elsevier 2021-06-01

Deskripsi

Introduced as an alternative endograft for those with unfavorable anatomy, bare metal suprarenal fixation barbs have been widely used for endovascular abdominal aortic repair. Type I endoleaks result in continued perfusion of the aneurysm sac and warrant prompt reintervention. We describe an unusual presentation and endovascular management of a late type IA endoleak secondary to complete separation of the suprarenal fixation struts in a Cook endograft after an uncomplicated, emergent infrarenal endovascular abdominal aortic repair 5 years earlier.