Vasc Spec Int.  2016 Sep;32(3):119-123. 10.5758/vsi.2016.32.3.119.

Bilateral Type IIIa Endoleak and Disconnection of Both Limbs after Evar with an Endurant II Endograft

• Giannakakis S
• Galyfos G
• Geropapas
• Kerasidis
• Papacharalampous G
• Kastrisios G
• Maltezos C

• KMID: 2354245
• DOI: http://doi.org/10.5758/vsi.2016.32.3.119

Abstract

A 75-year-old patient with severe comorbidities was treated with an Endurant® (Medtronic, USA) II endograft due to a ruptured abdominal aortic aneurysm (AAA). After four years of unremarkable follow-up, bilateral limb separation was detected. The patient underwent endovascular bridging without any complication. Although rarely detected in newer grafts, late bilateral type IIIa endoleaks can present and should be promptly repaired. Complex or ruptured AAAs treated with off-label use of endografts should be under closer surveillance using imaging tools for potential endoleaks or aneurysm sac growth.

Keyword

Endovascular procedures; Abdominal aortic aneurysm; Endoleak; Retreatment

MeSH Terms

Aged
Aneurysm
Aortic Aneurysm, Abdominal
Comorbidity
Endoleak*
Endovascular Procedures
Extremities*
Follow-Up Studies
Humans
Off-Label Use
Retreatment
Transplants