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Updated: Jun 18, 2026
09:32
Time-Resolved, Dynamic Computed Tomography Angiography for Characterization of Aortic Endoleaks and Treatment Guidance via 2D-3D Fusion-Imaging
Published on: December 9, 2021
Endovascular therapy for recurrent type III endoleak.
Jaap-Peter Schuurman1, Bram Fioole, Daniel A F van den Heuvel
1Department of Vascular Surgery, St. Antonius Hospital, Nieuwegein, Netherlands. j.p.schuurman@umcutrecht.nl
Vascular and Endovascular Surgery
|November 28, 2009
Summary
A revision for an aortouniiliac endoleak in aortic aneurysm repair led to a new endoleak. This type IIIa endoleak was successfully treated with a bridging endoprosthesis, highlighting revision pitfalls.
Area of Science:
- Vascular Surgery
- Endovascular Repair
- Aortic Aneurysm Management
Background:
- Endovascular aneurysm repair (EVAR) is a common treatment for infrarenal aortic aneurysms.
- Type III endoleaks can occur after EVAR, necessitating further intervention.
- Aortouniiliac revision is a strategy for managing certain endoleaks.
Observation:
- A case of type IIIb endoleak after AneuRx bifurcation endograft implantation for infrarenal aortic aneurysm repair is presented.
- An aortouniiliac revision was performed for the type IIIb endoleak.
- A type IIIa endoleak recurred 2 months after the aortouniiliac revision.
Findings:
- The recurrent type IIIa endoleak was successfully managed using a bridging endoprosthesis.
- This case highlights potential complications and challenges associated with aortouniiliac revision procedures.
Implications:
- Careful consideration of potential pitfalls is crucial during aortouniiliac revision for type III endoleaks.
- Alternative or adjunctive techniques may be needed to ensure durable seal and prevent recurrence.
- Further research into optimizing revision strategies for bifurcated endografts is warranted.
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