Abstract

A patient who underwent treatment (elsewhere) of a type lb endoleak by iliac extension two years after endovascular aneurysm repair, developed immediate severe right leg claudication. (A) Computed tomography angiography (CTA) showed occlusion of the endoprosthesis right limb due to compression and flow limitation by the iliac extension that was placed behind, rather than within it (arrow). A new iliac extension (Zenith Alpha Spiral-Z Iliac Leg Graft, Cook Medical, Bloomington, USA) was successfully placed next to the misplaced one ending intraluminally in the endograft, followed by 12 mm balloon dilation. (B) Patency was confirmed on two month post-operative CTA.Image 1

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