Inexplicable late type Ia endoleak associated with the low-profile Ovation endograft in a patient with favorable neck anatomy: treatment with transcaval coil embolization.
J Endovasc Ther
; 22(3): 426-30, 2015 Jun.
Article
em En
| MEDLINE
| ID: mdl-25862362
ABSTRACT
PURPOSE:
To report an unusual late type Ia endoleak after endovascular aneurysm repair with a low-profile sealing ring endograft and its treatment with transcaval sac embolization. CASE REPORT An 82-year-old man was treated for a 47-mm abdominal aortic aneurysm associated with a 35-mm left common iliac artery aneurysm using an Ovation Abdominal Stent Graft System. Correct endograft placement was documented at 3-month follow-up. Seven months after the repair, the patient was admitted to the emergency department with acute left inguinal pain. Computed tomography showed aneurysm sac enlargement (57 mm) and a contained rupture of the left common iliac artery due to a late type Ia endoleak. The endoleak was embolized with coils and thrombin via a transcaval approach. Sac shrinkage without signs of endoleak was observed at 12-month follow-up.CONCLUSION:
In this case, late endograft failure with sealing ring collapse created an inflow channel into the aneurysm sac, with massive type Ia endoleak.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Falha de Prótese
/
Prótese Vascular
/
Stents
/
Aneurisma da Aorta Abdominal
/
Implante de Prótese Vascular
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Embolização Terapêutica
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Endoleak
/
Procedimentos Endovasculares
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
Limite:
Aged80
/
Humans
/
Male
Idioma:
En
Revista:
J Endovasc Ther
Assunto da revista:
ANGIOLOGIA
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Itália