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Diagnosis and treatment of a patient with type IV endoleak as a late complication after endovascular aneurysm repair

Type IV endoleak is a very rare complication observed after implantation of aortobiiliac stent grafts. The difficult diagnosis of type IV endoleak leads to the application of many imaging methods in the diagnostic process. We present a case report of a patient who underwent implantation of an aortob...

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Autores principales: Wachal, Krzysztof, Szmyt, Krzysztof, Oszkinis, Grzegorz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4280431/
https://www.ncbi.nlm.nih.gov/pubmed/25562013
http://dx.doi.org/10.5114/wiitm.2014.47264
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author Wachal, Krzysztof
Szmyt, Krzysztof
Oszkinis, Grzegorz
author_facet Wachal, Krzysztof
Szmyt, Krzysztof
Oszkinis, Grzegorz
author_sort Wachal, Krzysztof
collection PubMed
description Type IV endoleak is a very rare complication observed after implantation of aortobiiliac stent grafts. The difficult diagnosis of type IV endoleak leads to the application of many imaging methods in the diagnostic process. We present a case report of a patient who underwent implantation of an aortobiiliac stent graft in 2004. After surgery, the size of the aneurysm sac was monitored continually in the subsequent imaging studies. Progression of the aneurysm sac volume was detected in 2009. In a short period of time, the diameter of the aneurysm increased from 100 to 140 mm. Angio-computed tomography and angiography did not reveal the location of the endoleak. The attempt at localization and endovascular closure of the source of the endoleak failed. It was decided to treat the patient surgically. Intraoperatively, the source of the endoleak was visualized, and the endoleak was closed with surgical sutures.
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spelling pubmed-42804312015-01-05 Diagnosis and treatment of a patient with type IV endoleak as a late complication after endovascular aneurysm repair Wachal, Krzysztof Szmyt, Krzysztof Oszkinis, Grzegorz Wideochir Inne Tech Maloinwazyjne Case Report Type IV endoleak is a very rare complication observed after implantation of aortobiiliac stent grafts. The difficult diagnosis of type IV endoleak leads to the application of many imaging methods in the diagnostic process. We present a case report of a patient who underwent implantation of an aortobiiliac stent graft in 2004. After surgery, the size of the aneurysm sac was monitored continually in the subsequent imaging studies. Progression of the aneurysm sac volume was detected in 2009. In a short period of time, the diameter of the aneurysm increased from 100 to 140 mm. Angio-computed tomography and angiography did not reveal the location of the endoleak. The attempt at localization and endovascular closure of the source of the endoleak failed. It was decided to treat the patient surgically. Intraoperatively, the source of the endoleak was visualized, and the endoleak was closed with surgical sutures. Termedia Publishing House 2014-11-28 2014-12 /pmc/articles/PMC4280431/ /pubmed/25562013 http://dx.doi.org/10.5114/wiitm.2014.47264 Text en Copyright © 2014 Sekcja Wideochirurgii TChP http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Wachal, Krzysztof
Szmyt, Krzysztof
Oszkinis, Grzegorz
Diagnosis and treatment of a patient with type IV endoleak as a late complication after endovascular aneurysm repair
title Diagnosis and treatment of a patient with type IV endoleak as a late complication after endovascular aneurysm repair
title_full Diagnosis and treatment of a patient with type IV endoleak as a late complication after endovascular aneurysm repair
title_fullStr Diagnosis and treatment of a patient with type IV endoleak as a late complication after endovascular aneurysm repair
title_full_unstemmed Diagnosis and treatment of a patient with type IV endoleak as a late complication after endovascular aneurysm repair
title_short Diagnosis and treatment of a patient with type IV endoleak as a late complication after endovascular aneurysm repair
title_sort diagnosis and treatment of a patient with type iv endoleak as a late complication after endovascular aneurysm repair
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4280431/
https://www.ncbi.nlm.nih.gov/pubmed/25562013
http://dx.doi.org/10.5114/wiitm.2014.47264
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