EndoAnchors to resolve persistent type Ia endoleak secondary to proximal cuff with parallel graft placement

Esmé J. Donselaar, Rozemarijn J. Van Der Vijver-Coppen, Leo H. Van Den Ham, Jan Willem H.P. Lardenoye, Michel M.P.J. Reijnen*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

15 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)225-228
Number of pages4
JournalJournal of Endovascular Therapy
Volume23
Issue number1
DOIs
Publication statusPublished - 1 Feb 2016
Externally publishedYes

Keywords

  • Anchors
  • Chimney graft
  • Complication
  • Endoleak
  • Endovascular aneurysm repair
  • Gutter
  • Late endoleak
  • Proximal cuff
  • Stent-graft migration
  • Type Ia endoleak

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