open access

Vol 27, No 2 (2021)
Case report
Published online: 2021-10-15
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Postoperative endoleak after EVAR and effective endovascular reintervention. The case of the 64-year old male with abdominal aortic aneurysm with concomitant common iliac artery aneurysm.

Michał Jerzy Terpiłowski1, Marek Iłżecki2, Stanisław Przywara2, Barbara Terpiłowska3, Piotr Terlecki2, Tomasz Zubilewicz2
DOI: 10.5603/AA.2021.0010
·
Acta Angiologica 2021;27(2):57-60.
Affiliations
  1. Doctoral School, Department of Vascular Surgery and Angiology, Medical University of Lublin, Staszica 11 street, 20-081 Lublin, Poland
  2. Department of Vascular Surgery nad Angiology Medical University, Staszica Street 11, 20-081 Lublin, Poland
  3. Students' Scientific Society, Chair and Department of Vascular Surgery and Angiology, Staszica 11 street, 20-081 Lublin, Poland

open access

Vol 27, No 2 (2021)
YOUNG VASCULAR SURGEONS OR DOCTORS
Published online: 2021-10-15

Abstract

Endovascular aneurysm repair (EVAR) is a widely accepted alternative for open surgical repair (OSR) in the treatment of an abdominal aortic aneurysm (AAA). Metaanalyses of randomized controlled trials revealed significantly lower short-term mortality after EVAR procedure than OSR. From a technical point of view, proper sizing and selection of the stent-graft is very important. Most instructions for use (IFUs) of the current endografts recommend 10-20% oversizing concerning the preoperative aortic diameter. It can prevent endoleaks or subsequent complications such as displacement of the leg to the abdominal aneurysmal sac. In this paper, we present a case of a 64-year old male with a history of abdominal aortic aneurysm with concomitant common iliac artery (CIA) aneurysm. The patient underwent endovascular implantation of bifurcated stent-graft with extension to the right common iliac artery. He was admitted to the Department of Vascular Surgery due to increasing pain in the right-lower abdomen. The analysis of the imaging examination and the symptoms of an increasing lower limb ischaemia caused by deformation of the stent-graft allowed to decide for an endovascular intervention involving the implantation of the iliac side branch device (IBD). Postoperative angiography confirmed the correct location of the IBD with proper blood flow. After five days the patient was discharged home.

Abstract

Endovascular aneurysm repair (EVAR) is a widely accepted alternative for open surgical repair (OSR) in the treatment of an abdominal aortic aneurysm (AAA). Metaanalyses of randomized controlled trials revealed significantly lower short-term mortality after EVAR procedure than OSR. From a technical point of view, proper sizing and selection of the stent-graft is very important. Most instructions for use (IFUs) of the current endografts recommend 10-20% oversizing concerning the preoperative aortic diameter. It can prevent endoleaks or subsequent complications such as displacement of the leg to the abdominal aneurysmal sac. In this paper, we present a case of a 64-year old male with a history of abdominal aortic aneurysm with concomitant common iliac artery (CIA) aneurysm. The patient underwent endovascular implantation of bifurcated stent-graft with extension to the right common iliac artery. He was admitted to the Department of Vascular Surgery due to increasing pain in the right-lower abdomen. The analysis of the imaging examination and the symptoms of an increasing lower limb ischaemia caused by deformation of the stent-graft allowed to decide for an endovascular intervention involving the implantation of the iliac side branch device (IBD). Postoperative angiography confirmed the correct location of the IBD with proper blood flow. After five days the patient was discharged home.

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Keywords

(EVAR; iliac side branch device; endoleak; common iliac artery aneurysm).

About this article
Title

Postoperative endoleak after EVAR and effective endovascular reintervention. The case of the 64-year old male with abdominal aortic aneurysm with concomitant common iliac artery aneurysm.

Journal

Acta Angiologica

Issue

Vol 27, No 2 (2021)

Article type

Case report

Pages

57-60

Published online

2021-10-15

DOI

10.5603/AA.2021.0010

Bibliographic record

Acta Angiologica 2021;27(2):57-60.

Keywords

(EVAR
iliac side branch device
endoleak
common iliac artery aneurysm).

Authors

Michał Jerzy Terpiłowski
Marek Iłżecki
Stanisław Przywara
Barbara Terpiłowska
Piotr Terlecki
Tomasz Zubilewicz

References (19)
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