Abstract
Endovascular stent grafting with different commercially available stent graft systems is widely applied for the treatment of abdominal aortic aneurysms with high success rates in the current era. Various types of endoleaks are potential complications of the procedure. They usually occur in the early period. In this report, we present type 3b endoleak occurring 14 months after a successful endovascular abdominal aortic aneurysm repair with a Medtronic Endurant stent graft.
Highlights
Endovascular abdominal aortic aneurysm repair (EVAR) is a safe and efficient method, which has been widely used for treatment at abdominal aortic aneurysms (AAA)
We report a case of late type 3b endoleak from a tear in the main body of an Endurant (Medtronic Endovascular, Santa Rosa, Calif., USA) endograft 14 months after deployment and treatment with coil embolization
Computerized tomography showed enlarged AAA bounded with hematoma and an endoleak originating from distal main body of the EVAR graft (Figure 2(a))
Summary
Endovascular abdominal aortic aneurysm repair (EVAR) is a safe and efficient method, which has been widely used for treatment at abdominal aortic aneurysms (AAA). We report a case of late type 3b endoleak from a tear in the main body of an Endurant (Medtronic Endovascular, Santa Rosa, Calif., USA) endograft 14 months after deployment and treatment with coil embolization. An 81-year-old man underwent EVAR for the treatment of a 70 mm AAA with deployment of 36 × 16 × 166 mm main body Endurant bifurcated endograft, 16 × 20 × 120 mm contralateral limb, and extensions of 16 × 16 × 95 mm to the right and to 20 × 20 × 80 mm to the left.
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