Complex endoleak treatment after failed endovascular aortic repair
Abstract Background Endovascular aneurysm repair (EVAR) has created new possibilities for patients with abdominal aortic aneurysms (AAAs), and in recent years it has become tremendously popular. Use of EVAR in selected groups of patients allows mortality and morbidity to be reduced in comparison to...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2023-07-01
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| Series: | CVIR Endovascular |
| Online Access: | https://doi.org/10.1186/s42155-023-00381-y |
| _version_ | 1797784376055955456 |
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| author | Jan Raupach Jan Masek Sindharta Venugopal Ondrej Renc Michal Lesko Maly Radovan |
| author_facet | Jan Raupach Jan Masek Sindharta Venugopal Ondrej Renc Michal Lesko Maly Radovan |
| author_sort | Jan Raupach |
| collection | DOAJ |
| description | Abstract Background Endovascular aneurysm repair (EVAR) has created new possibilities for patients with abdominal aortic aneurysms (AAAs), and in recent years it has become tremendously popular. Use of EVAR in selected groups of patients allows mortality and morbidity to be reduced in comparison to open repair. However, complications such as endoleaks (ELs) can be of great concern and warrant urgent therapy to prevent sac rupture. Case presentation The case report presents urgent endovascular treatment of a high-risk type IA EL in a polymorbid 68-year-old patient 7 years after primary EVAR. The principle of treatment was parallel implantation of the proximal SG extension with the renal SG into the right renal artery (chimney technique). The subsequent type II collateral EL was treated by direct transabdominal AAA sac puncture and thrombin embolization. Conclusion EL can be a cause for urgent intervention, but specific anatomic features often require specialized SG types which are not readily available. The chimney technique allows the use of immediately available stent grafts to address endoleak in the setting of impending abdominal aneurysm rupture. |
| first_indexed | 2024-03-13T00:39:59Z |
| format | Article |
| id | doaj.art-ba1946cba4c043ee80c07d70de7734e7 |
| institution | Directory Open Access Journal |
| issn | 2520-8934 |
| language | English |
| last_indexed | 2024-03-13T00:39:59Z |
| publishDate | 2023-07-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | CVIR Endovascular |
| spelling | doaj.art-ba1946cba4c043ee80c07d70de7734e72023-07-09T11:26:10ZengSpringerOpenCVIR Endovascular2520-89342023-07-01611410.1186/s42155-023-00381-yComplex endoleak treatment after failed endovascular aortic repairJan Raupach0Jan Masek1Sindharta Venugopal2Ondrej Renc3Michal Lesko4Maly Radovan5Department of Radiology, University Hospital Hradec KraloveDepartment of Radiology, University Hospital Hradec KraloveDepartment of Radiology, University Hospital Hradec KraloveDepartment of Radiology, University Hospital Hradec KraloveDepartment of Surgery, University Hospital Hradec KraloveThe 1st Department of Internal Medicine – Cardioangiology, University Hospital Hradec KraloveAbstract Background Endovascular aneurysm repair (EVAR) has created new possibilities for patients with abdominal aortic aneurysms (AAAs), and in recent years it has become tremendously popular. Use of EVAR in selected groups of patients allows mortality and morbidity to be reduced in comparison to open repair. However, complications such as endoleaks (ELs) can be of great concern and warrant urgent therapy to prevent sac rupture. Case presentation The case report presents urgent endovascular treatment of a high-risk type IA EL in a polymorbid 68-year-old patient 7 years after primary EVAR. The principle of treatment was parallel implantation of the proximal SG extension with the renal SG into the right renal artery (chimney technique). The subsequent type II collateral EL was treated by direct transabdominal AAA sac puncture and thrombin embolization. Conclusion EL can be a cause for urgent intervention, but specific anatomic features often require specialized SG types which are not readily available. The chimney technique allows the use of immediately available stent grafts to address endoleak in the setting of impending abdominal aneurysm rupture.https://doi.org/10.1186/s42155-023-00381-y |
| spellingShingle | Jan Raupach Jan Masek Sindharta Venugopal Ondrej Renc Michal Lesko Maly Radovan Complex endoleak treatment after failed endovascular aortic repair CVIR Endovascular |
| title | Complex endoleak treatment after failed endovascular aortic repair |
| title_full | Complex endoleak treatment after failed endovascular aortic repair |
| title_fullStr | Complex endoleak treatment after failed endovascular aortic repair |
| title_full_unstemmed | Complex endoleak treatment after failed endovascular aortic repair |
| title_short | Complex endoleak treatment after failed endovascular aortic repair |
| title_sort | complex endoleak treatment after failed endovascular aortic repair |
| url | https://doi.org/10.1186/s42155-023-00381-y |
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