Late endoleak after endovascular repair of an abdominal aortic aneurysm with multiple proximal extender cuffs

Yehuda G. Wolf, Bradley B. Hill, Thomas J. Fogarty, Paul R. Cipriano, Christopher K. Zarins*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Late onset graft or attachment site-related endoleaks may be hazardous, and early identification of patients at risk is important. We describe a patient who underwent implantation of a bifurcated stent graft 5.5 cm below the renal arteries because of a technical error with three extender cuffs implanted proximally to bridge the gap. During the 1st year, aneurysm diameter decreased from 68 to 52 mm. After 1 year, the patient had an acute endoleak develop, which originated between two of the extender cuffs and which was accompanied by severe abdominal pain and reexpansion of the aneurysm. This endoleak was treated with insertion of an additional bifurcated stent graft within the extender cuff segment. The patient has been subsequently followed for 6 months and has had no endoleak or symptoms, and aortic diameter has decreased once again to 55 mm.

Original languageEnglish
Pages (from-to)580-583
Number of pages4
JournalJournal of Vascular Surgery
Volume35
Issue number3
DOIs
StatePublished - Mar 2002
Externally publishedYes

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