We report the case of an 80-year-old patient with bilateral isolated internal iliac artery aneurysms (IIIAAs), which were diagnosed by computer tomography angiography (CTA). Aneurysms with short proximal necks and large diameters were treated with coils, followed by placement of a bifurcated stent-graft within the aortic and external iliac arteries. When ectopic embolism and a type III endoleak...

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...

Results Patients’ mean age was 64.9 years (21~85). Perioperative neurologic complication occurred in 7 (16.0%) patients, endoleak needing extra procedure occurred in 4 (9.1%), stent related complication other than endoleak occurred in 2 (4.5%), which were stent stenosis and left common carotid artery occlusion by stent. Iatrogenic AR occurred in 1 (2.3%), whom AVR was operated on. Newly develop...

Results Octogenarians more frequently had impaired renal function (P = .05). We did not observe intraoperative mortality; the 30-day mortality rate was 8.5% (3/35) vs 1.5% (3/ 200) in the younger group (P = .03). The early complications were higher in aged patients 25.7% vs 13.5% (P = .006), as was the length of stay 7.7 ± 5.6 vs 5.7 ± 4 days (P = .05). The follow-up period was shorter in octog...

INTRODUCTION Contrast-enhanced computed tomography (CT) has become the 'gold-standard' imaging modality for surveillance following EVAR. However repeated CT causes cumulative contrast related renal injury. Duplex ultrasound (USS) and contrast-enhanced (non-nephrotoxic) duplex scanning (CEUS) are less invasive but considered less accurate than CT. The aim of this study was to determine the diagn...

INTRODUCTION Despite the reduction in mortality incidences of AAA in proportion to increased use of EVAR, the natural history of aneurysms with the presence of an endoleak post EVAR remains unclear. With a cumulative AAA rupture incidence of 2% at six years post EVAR, the lack of an immediate endoleak is not an indicator of success. CASE REPORT We present a case of an 80-year-old man who pres...

PURPOSE The purpose of this study was to assess the results of abdominal aortic aneurysm repair with the PowerLink bifurcated endovascular graft (Endologix, Inc, Irvine, Calif). METHOD Twelve centers used the PowerLink bifurcated system for elective endovascular aneurysm repair in 118 patients recruited during a 16-month interval and followed for a 25-month interval (mean follow-up, 16 months...

Endovascular aneurysm repair (EVAR) has rapidly become the treatment of choice in the repair of abdominal aortic aneurysms (AAA). Whilst EVAR using commercially available devices has been associated with a low rate of aneurysm-related death, late aneurysm rupture is a potential risk of all devices. Therefore, continued surveillance after EVAR to detect aneurysm growth due to endoleak, device mi...

Post-EVAR type III endoleaks present a particular challenge as they carry a significant risk of rupture. We present a case of an 81-year-old gentleman, 10 years post-EVAR, with complex type III endoleak with component separation that was successfully treated with a combination of left renal artery chimney, aortouniiliac stent grafting and femorofemoral crossover bypass.

Emergent stent-graft endovascular aneurysm repair in a 69-year-old male patient with ruptured bilateral iliac artery aneurysms is reported. Endoleak prevention and pelvic circulation preservation are the critical issues in endovascular repair for iliac artery aneurysms, especially when covering bilateral internal iliac arteries. Perioperative hemodynamic stability is crucial for preventing isch...