1. EndoAnchors to Resolve Persistent Type Ia Endoleak Secondary to Proximal Cuff With Parallel Graft Placement.
- Author
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Donselaar EJ, van der Vijver-Coppen RJ, van den Ham LH, Lardenoye JW, and Reijnen MM
- Subjects
- Aged, Aged, 80 and over, Aortic Aneurysm, Abdominal diagnosis, Aortography methods, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation instrumentation, Endoleak diagnosis, Endoleak etiology, Endovascular Procedures instrumentation, Foreign-Body Migration diagnosis, Foreign-Body Migration etiology, Humans, Male, Prosthesis Design, Prosthesis Failure, Reoperation, Stents, Tomography, X-Ray Computed, Treatment Outcome, Aortic Aneurysm, Abdominal surgery, Blood Vessel Prosthesis Implantation adverse effects, Endoleak surgery, Endovascular Procedures adverse effects, Foreign-Body Migration surgery
- Abstract
Purpose: To describe 2 patients with a distally migrated endograft causing a type Ia endoleak and treatment with a proximal cuff and chimney grafts that required EndoAnchors to finally seal the leak., Case Report: Two men, ages 86 and 72 years, presented with stent-graft migration and type Ia endoleak at 5 and 15 years after endovascular repair, respectively. Both were treated with a proximal cuff in combination with a chimney graft to the left renal artery. In both cases, the type Ia endoleak persisted, likely due to gutter formation. Both patients were treated in the same setting with EndoAnchors that instantly resolved the endoleak. At 1-year follow-up, there was no recurrent endoleak or migration, with patent chimney grafts and renal arteries and stable renal function., Conclusion: EndoAnchors may effectively resolve a persistent type Ia endoleak arising from gutter formation after placement of a proximal cuff and chimney grafts., (© The Author(s) 2015.)
- Published
- 2016
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