Treatment of type III endoleak with an aortouniiliac stent graft

Theodore H. Teruya, Juan Ayerdi, Maurice M. Solis, Ahmed M. Abou-Zamzam, Jeffrey L. Ballard, Robert B. McLafferty, Kim J. Hodgson

Research output: Contribution to journalArticle

31 Scopus citations

Abstract

The purpose of this study was to present a novel treatment method for repair of a type III endoleak due to separation of modular components of an AneuRx (Medtronic AVE, Sunnyvalle, CA) stent graft as a result of graft kinking. A 73-year-old male had undergone endovascular repair of a 8.2-cm abdominal aortic aneurysm (AAA) 2 years previously. An aortic extender cuff was required to secure the proximal graft. Computed tomographic (CT) follow-up revealed a type III endoleak at 6-month follow-up. Plain radiographs showed separation between the main graft body and the aortic extender cuff. A second custom-made 28 mm x 5.5cm aortic extender cuff was placed to seal the type III endoleak. Follow-up CT showed a persistent endoleak with an increase in AAA size to 10.5 cm. The patient underwent remedial AAA repair with an aortouniiliac endograft placed within the previous stent graft and a femorofemoral bypass. At 3-month follow-up there was no detectable endoleak. This constitutes an alternative endovascular therapy for modular device separation (type-III endoleak) after endoluminal AAA repair in patients who cannot undergo repair with a second bifurcated graft.

Original languageEnglish (US)
Pages (from-to)123-128
Number of pages6
JournalAnnals of Vascular Surgery
Volume17
Issue number2
DOIs
StatePublished - Mar 2003

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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    Teruya, T. H., Ayerdi, J., Solis, M. M., Abou-Zamzam, A. M., Ballard, J. L., McLafferty, R. B., & Hodgson, K. J. (2003). Treatment of type III endoleak with an aortouniiliac stent graft. Annals of Vascular Surgery, 17(2), 123-128. https://doi.org/10.1007/s10016-001-0395-y