A novel alternative to open conversion for type 1 endoleak resulting in ruptured aneurysm

Vascular and Endovascular Surgery
Ramon L VarcoeJohn E Frawley

Abstract

In this article, a novel technique for the treatment of ruptured abdominal aortic aneurysm secondary to proximal type 1 endoleak as a result of progressive neck dilatation after endovascular aneurysm repair is reported. A 74-year-old man with multiple comorbidities including severe ischemic heart disease, congestive cardiac failure, and chronic renal failure presented with a ruptured abdominal aortic aneurysm. He had an infrarenal endovascular aneurysm repair performed in 1999 and had subsequently developed a proximal type 1 endoleak. At open laparotomy, the placement of 4 nylon ties around the infrarenal aneurysm neck to refashion a seal and exclude the sac from systemic pressurization effectively treated the rupture. In the high-risk patient, ruptured proximal type 1 endoleak can be successfully treated with external banding avoiding the potential morbidity seen with the aortic clamping and blood loss of open conversion.

References

Jul 1, 1997·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J MayJ P Harris
Feb 7, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J AlbertiniB R Hopkinson
Feb 15, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·B SonessonB Lindblad
Mar 6, 2002·Journal of Vascular Surgery·Corine van MarrewijkMichael G Wyatt
Jul 25, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Elias TzortzisBrian R Hopkinson

❮ Previous
Next ❯

Citations

Dec 15, 2010·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Konstantinos G MoulakakisChristos D Liapis
Apr 13, 2012·Journal of Vascular Surgery·Edoardo ScarcelloStefano de Franciscis
Jan 20, 2018·Journal of Vascular Surgery Cases and Innovative Techniques·Genta ChikazawaHidenori Yoshitaka

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Related Papers

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Marcelo Ferreira
Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia
Petr UtíkalEva Buriánková
Journal of Vascular Surgery
Joseph J Ricotta, Rafael D Malgor
Annals of Vascular Surgery
George YounisZvonimir Krajcer
© 2022 Meta ULC. All rights reserved