Treatment options for late type III endoleaks after endovascular aneurysm repair
Maia L Eng1, Michael B Brewer2, Vincent L Rowe2
1Keck School of Medicine at the University of Southern California, Los Angeles, CA.
Abstract:
Late type III endoleaks result from complete or partial separation of endograft device components. Component separation repressurizes the aortic sac and may result in aortic rupture. We report 4 cases of late type III endoleaks after initial successful endovascular aneurysm repair for abdominal aortic aneurysm. Our cases include 3 aortic cuff separations and 1 iliac limb separation. The average time before graft separation was 3.25 years with an average aneurysm size at re-presentation of 8.2 cm. Management of these complex cases will be discussed, the literature reviewed, and recommendations for treatment offered.
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