TY - JOUR
T1 - EndoAnchors to resolve persistent type Ia endoleak secondary to proximal cuff with parallel graft placement
AU - Donselaar, Esmé J.
AU - van der Vijver-Coppen, Rozemarijn J.
AU - van den Ham, Leo H.
AU - Lardenoye, Jan Willem H.P.
AU - Reijnen, Michel M.P.J.
PY - 2016/2/1
Y1 - 2016/2/1
N2 - 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.
AB - 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.
KW - Anchors
KW - Chimney graft
KW - Complication
KW - Endoleak
KW - Endovascular aneurysm repair
KW - Gutter
KW - Late endoleak
KW - Proximal cuff
KW - Stent-graft migration
KW - Type Ia endoleak
UR - http://www.scopus.com/inward/record.url?scp=84957799790&partnerID=8YFLogxK
U2 - 10.1177/1526602815621920
DO - 10.1177/1526602815621920
M3 - Article
C2 - 26668128
AN - SCOPUS:84957799790
SN - 1526-6028
VL - 23
SP - 225
EP - 228
JO - Journal of Endovascular Therapy
JF - Journal of Endovascular Therapy
IS - 1
ER -