The diagnostic and treatment challenge of type IIIb endoleaks

Type IIIb endoleak is a rare complication of endovascular aortic repair caused by endoprosthesis deterioration, leading to aneurysm pressurization and potential rupture. Because of its rarity, few cases are published. We report six cases of type IIIb endoleak in a 15-year period. Appropriate preoper...

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Autores principales: Pini, Rodolfo, Faggioli, Gianluca, Mascoli, Chiara, Freyrie, Antonio, Gargiulo, Mauro, Stella, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6849931/
https://www.ncbi.nlm.nih.gov/pubmed/31724626
http://dx.doi.org/10.1016/j.jvsc.2015.07.009
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author Pini, Rodolfo
Faggioli, Gianluca
Mascoli, Chiara
Freyrie, Antonio
Gargiulo, Mauro
Stella, Andrea
author_facet Pini, Rodolfo
Faggioli, Gianluca
Mascoli, Chiara
Freyrie, Antonio
Gargiulo, Mauro
Stella, Andrea
author_sort Pini, Rodolfo
collection PubMed
description Type IIIb endoleak is a rare complication of endovascular aortic repair caused by endoprosthesis deterioration, leading to aneurysm pressurization and potential rupture. Because of its rarity, few cases are published. We report six cases of type IIIb endoleak in a 15-year period. Appropriate preoperative diagnosis was achieved in five cases; duplex ultrasonography, computed tomography angiography, and contrast-enhanced ultrasonography were useful diagnostic tools in one case, and angiography led to the correct diagnosis in four cases. In the remaining case, only surgical exploration identified the type IIIb endoleak. Successful treatment was achieved by endovascular relining in five cases and by surgical conversion in one case.
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spelling pubmed-68499312019-11-13 The diagnostic and treatment challenge of type IIIb endoleaks Pini, Rodolfo Faggioli, Gianluca Mascoli, Chiara Freyrie, Antonio Gargiulo, Mauro Stella, Andrea J Vasc Surg Cases Article Type IIIb endoleak is a rare complication of endovascular aortic repair caused by endoprosthesis deterioration, leading to aneurysm pressurization and potential rupture. Because of its rarity, few cases are published. We report six cases of type IIIb endoleak in a 15-year period. Appropriate preoperative diagnosis was achieved in five cases; duplex ultrasonography, computed tomography angiography, and contrast-enhanced ultrasonography were useful diagnostic tools in one case, and angiography led to the correct diagnosis in four cases. In the remaining case, only surgical exploration identified the type IIIb endoleak. Successful treatment was achieved by endovascular relining in five cases and by surgical conversion in one case. Elsevier 2015-11-07 /pmc/articles/PMC6849931/ /pubmed/31724626 http://dx.doi.org/10.1016/j.jvsc.2015.07.009 Text en © 2015 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Pini, Rodolfo
Faggioli, Gianluca
Mascoli, Chiara
Freyrie, Antonio
Gargiulo, Mauro
Stella, Andrea
The diagnostic and treatment challenge of type IIIb endoleaks
title The diagnostic and treatment challenge of type IIIb endoleaks
title_full The diagnostic and treatment challenge of type IIIb endoleaks
title_fullStr The diagnostic and treatment challenge of type IIIb endoleaks
title_full_unstemmed The diagnostic and treatment challenge of type IIIb endoleaks
title_short The diagnostic and treatment challenge of type IIIb endoleaks
title_sort diagnostic and treatment challenge of type iiib endoleaks
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6849931/
https://www.ncbi.nlm.nih.gov/pubmed/31724626
http://dx.doi.org/10.1016/j.jvsc.2015.07.009
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