Ces radiol. 2022, 76(1):51-55 | DOI: 10.55095/CesRadiol2022/008

Combined Treatment of Endoleak After Endovascular Aortic Repair FailureCase report

Michael Syka1, Jan Mašek2, Michal Leško3, Ondřej Rene2, Radovan Malý4, Jan Raupach2
1 Radiodiagnostické oddělení ONT, Trutnov
2 Radiologická klinika LF UK a FN, Hradec Králové
3 Chirurgická klinika LF UK a FN, Hradec Králové
4 I. interní kardioangiologická klinika LF UK a FN, Hradec Králové

We present a successful urgent endovascular treatment of symptomatic endoleak (EL) 7 years after primary implantation of a bifurcation stent graft (SG) into abdominal aortic aneurysm in an elderly, polymorbid man with solitary kidney. Combined parallel insertion of a renal SG from the brachial approach and proximal extension of distally migrated SG from the femoral approach resulted in the resolution of type IA EL while preserving perfusion of the solitary renal artery. Subsequently, the apparent type II EL was successfully treated by direct, transabdominal injection of thrombin into the aneurysm sac. At follow-up 8 weeks after thrombin application, the patient was free of EL and associated clinical symptoms.

Keywords: aorta, aneurysm, endoleak, endovascular treatment, stent graft

Accepted: April 1, 2022; Published: March 1, 2022  Show citation

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Syka M, Mašek J, Leško M, Rene O, Malý R, Raupach J. Combined Treatment of Endoleak After Endovascular Aortic Repair Failure. Ces radiol. 2022;76(1):51-55. doi: 10.55095/CesRadiol2022/008.
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