We decided to plan the intervention with the XperGuide software and verify the feasibility of a translumbar approach by drawing the puncture path on the diagnostic CTA image, because this optimally shows shape and volume of the targeted endoleak (Figure 2a). In general, we recommend the use of delayed phase CTA, although in this specific case we used the arterial phase because it still offered ...

OBJECTIVE The purpose of this study was to determine the cause and frequency of aneurysm rupture after endovascular aneurysm repair. METHODS We reviewed each patient who sustained aneurysm rupture among all patients enrolled for endovascular aortic aneurysm repair in phases I, II, and III of the US AneuRx Multicenter Clinical Trial from June 1996 through October 1999. RESULTS A total of 106...

We hereby present a case of recurrent abdominal aortic aneurysm due to endoleak to outline complications and secondary intervention strategies post endovascular aneurysm repair.

PURPOSE We aimed to identify the risk factors associated with late aneurysmal sac expansion after endovascular abdominal aortic aneurysm repair (EVAR). METHODS We retrospectively reviewed contrast-enhanced computed tomography (CT) images of 143 patients who were followed for ≥6 months after EVAR. Sac expansion was defined as an increase in sac diameter of 5 mm relative to the preoperative dia...

PURPOSE Our purpose was to investigate the multi-detector-row CT angiography (MDCTA) application in endoleak detection. METHODS Fifty-nine patients that underwent endovascular aneurysm repair (EVAR) of an infrarenal abdominal aortic aneurysm with endoluminal stent graft were retrospectively studied. MDCTA scans were obtained after administration of 110-130 mL of contrast material using a 4-6 ...

INTRODUCTION One of the most common complications of endovascular repair of abdominal aortic aneurysm is type II endoleak - retrograde branch flow. CASE REPORT A 76-year-old man with abdominal aortic aneurysm, 7.1 cm in diameter and aneurysm of the right common iliac artery, 3.2 cm in diameter was admitted to our Department with abdominal pain. The patient had no chance of having open repair ...

Retrospective, single center review between 2015 and 2019. Perigraft aortic sac embolization using thrombin gelfoam liquid was performed at the conclusion of endovascular (EVAR) in 44 patients with patent inferior mesenteric artery or lumbar arteries on angiogram. After an average follow-up approximately 1 year, none aneurysm sacs increased diameter about two-thirds demonstrated regression. Fre...

INTRODUCTION Abdominal aortic aneurysms (AAAs) with coexisting horseshoe kidney (HSK) can be difficult to repair, with variable blood supply from the aorta and iliac/mesenteric vessels. Endovascular aneurysm repair (EVAR) has become a popular, less invasive approach to aneurysm care, and a chimney approach to EVAR (ChEVAR) has expanded its use to more complex anatomy. It is mandatory to maintai...

BACKGROUND The chimney/periscope technique has been used to address complex aortic pathologies. This study aimed to report the outcomes and experiences of chimney and/or periscope grafts (CPGs) used in the endovascular management of complex aortic pathologies. METHODS Twenty-two patients with complex aortic pathologies were retrospectively studied from January 2013 to August 2016 in two vascu...

Endoleak is a known complication of endovascular aortic repair (EVAR). The purpose this study was to investigate the natural behavior endoleaks based on initial aneurysm sac behavior. We analyzed 1631 patients who underwent EVAR for abdominal at single center between 2001 and 2020. Patients were stratified into no leak or groups then further grouped by behavior: expansion, stabilization, regres...