TCTAP C-215 Endovascular Treatment of Type 2 Endoleak After EVAR for Aortocaval Fistula

Bridging stent repair of type III endoleak causing aortocaval fistula after branched aortic endovascular repair

A 62-year-old man presented to our department with abdominal pain and diarrhea for 3 weeks on a background of previous branched endovascular repair for a thoracoabdominal aneurysm. A triple-phase computed tomography scan of his abdomen and pelvis showed a large aortocaval fistula caused by a type III endoleak from a dislodged superior mesenteric artery stent. He was successfully treated with a ...

Late Type 3b Endoleak Mimicking Type 2 Endoleak after Endovascular Aortic Aneurysm Repair

Endovascular abdominal aortic aneurysm (AAA) repair has been widely used for the treatment of AAA as a safe and efficient method, but endoleaks causing persistent expansion of aneurysm sac may cause aneurysmal rupture and death. Type 3 endoleak is rare but a predominant cause of late rupture. Type 3b endoleak can be misdiagnosed as type 2 endoleak, which is more frequent. Here we report two cas...

Persistent Type I Endoleak after Endovascular Treatment with Chimney Technique

Thoracic endovascular aortic repair (TEVAR) is increasingly used in the treatment of acute type B aortic dissection. Type Ia endoleaks are a common complication of the procedure, but its clinical significance and the best treatment strategy remain poorly defined. We present a case of a type Ia endoleak following TEVAR in the treatment of acute type B aortic dissection. Chimney technique approac...

Aortocaval Fistula

A 77-year-old Caucasian male with a history of hypertension presented with sudden onset of lower back pain, nausea, and vomiting. Initial vital signs included a pulse rate of 104 beats/minute, a blood pressure of 117/72 mm Hg, and pulse oximetry of 95% on room air. Abdominal examination revealed a midline pulsatile mass and bruit. The patient had bilateral lower extremity edema, which was worse...

Endovascular Treatment of Endoleaks Following EVAR