Transradial Repair of Type IA Endoleak
Meet Shah, Mitul Patel, Kintur Sanghvi1
1Associate Director of Interventional Cardiology & Endovascular Medicine, Deborah Heart and Lung Center 200 Trenton Road, Browns Mills NJ 08054 USA. sanghvik@deborah.org.
The Journal of Invasive Cardiology
|November 1, 2019
Insights
An 81-year-old patient experienced an endoleak after abdominal aortic aneurysm (AAA) repair. A subsequent elective repair successfully addressed the endoleak, ensuring sac integrity.
Area of Science:
- Vascular Surgery
- Endovascular Interventions
- Aortic Aneurysm Management
Background:
- Abdominal aortic aneurysm (AAA) poses significant cardiovascular risk.
- Endovascular aneurysm repair (EVAR) is a common treatment for AAA.
- Post-EVAR surveillance is crucial for detecting complications like endoleaks.
Observation:
- An 81-year-old male with a known AAA underwent successful EVAR.
- One month post-procedure, surveillance computed tomography angiography (CTA) revealed an endoleak.
- Contrast was observed within the previously treated aneurysmal sac.
Findings:
- The surveillance CTA confirmed a type II endoleak following EVAR.
- The presence of contrast in the sac indicated persistent blood flow.
- An elective re-intervention was deemed necessary.
Implications:
- Early detection of post-EVAR endoleaks is vital for successful outcomes.
- Endovascular techniques allow for timely re-intervention.
- This case highlights the importance of vigilant surveillance after EVAR to manage complications effectively.
Abstract:
An 81-year-old Caucasian male with a known abdominal aortic aneurysm (AAA) was referred to the endovascular clinic. One month after successful endovascular repair, surveillance CTA showed endoleak with presence of contrast within the aneurysmal sac. An elective repair was performed.
