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Ann Vasc Surg. 2014 Apr;28(3):737.e13-7. doi: 10.1016/j.avsg.2013.07.028. Epub 2013 Nov 1.

Successful treatment of a proximal type I endoleak with HeliFX EndoAnchors.

Author information

1
Section of Vascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT; Section of Interventional Radiology, Department of Radiology, Yale University School of Medicine, New Haven, CT. Electronic address: wouter.hogendoorn@yale.edu.
2
Section of Vascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT; Section of Interventional Radiology, Department of Radiology, Yale University School of Medicine, New Haven, CT.

Abstract

We report the use of Aptus HeliFX EndoAnchors for endovascular treatment of a proximal type I endoleak after previous endovascular aneurysm repair (EVAR) of a ruptured abdominal aortic aneurysm. An 81-year-old man had been treated with EVAR after a ruptured 12 × 11 cm abdominal aortic aneurysm. Standard computed tomographic angiography follow-up demonstrated a proximal type I endoleak. Because of the highly angulated neck and close position of the endograft to the renal arteries, placement of a proximal extension cuff was prohibited; therefore, the endoleak was treated with an alternative approach using the Aptus HeliFX EndoAnchors. Nine EndoAnchors were successfully placed circumferentially on the proximal site of the endograft. This successfully treated the endoleak by excluding the aneurysm sac from the circulation. Computed tomographic angiography follow-up after 3 months showed no residual type I endoleak. This case shows that placement of EndoAnchors can serve as a viable treatment option for proximal type I endoleaks after failed EVAR.

PMID:
24184495
DOI:
10.1016/j.avsg.2013.07.028
[Indexed for MEDLINE]
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