Early Post-EVAR Rupture in a Patient with Early Type II Endoleak: A Borderline Treatment
Christiana Anastasiadou1, Sotiris Giannakakis1, Anastasios Papapetrou1
1Department of Vascular Surgery, General Hospital of Attica "KAT", Athens, Greece.
Annals of Vascular Surgery
|November 11, 2019
Summary
Type II endoleaks after endovascular aneurysm repair (EVAR) can cause contained rupture. Conservative management proved effective for this case, challenging the notion that these are always benign.
Area of Science:
- Vascular Surgery
- Endovascular Repair
- Aortic Aneurysm Management
Background:
- Type II endoleaks following endovascular aneurysm repair (EVAR) are often considered low-risk.
- This case highlights a potential complication of EVAR previously underestimated.
Observation:
- A 67-year-old male with an abdominal aortic aneurysm treated with EVAR developed a contained rupture.
- The rupture was attributed to a type II endoleak detected four months post-procedure.
Findings:
- Conservative management without intervention was successfully employed.
- This approach led to a satisfying clinical outcome for the patient.
Implications:
- Conservative management is a viable option for contained post-EVAR ruptures.
- Re-evaluation of the clinical significance and management strategies for type II endoleaks is warranted.
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