Stent-Graft Relining by Combined Aortic Cuff with Double-D Technique for Type IIIb or V Endoleak after Endovascular Aneurysm Repair: A Case Report

We report the case of a 83-year-old man with aneurysmal sac enlargement after endovascular aneurysm repair for an abdominal aortic aneurysm, despite no overt endoleak (EL) detected on imaging. Occult type II EL was suspected, and treatment was performed. However, the aneurysm continued to enlarge. T...

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Autores principales: Maruhashi, Takaaki, Nishimaki, Hiroshi, Ogawa, Yukihisa, Chiba, Kiyoshi, Kotoku, Akiyuki, Sakurai, Yuka, Miyairi, Takeshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7140164/
https://www.ncbi.nlm.nih.gov/pubmed/32273926
http://dx.doi.org/10.3400/avd.cr.19-00069
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author Maruhashi, Takaaki
Nishimaki, Hiroshi
Ogawa, Yukihisa
Chiba, Kiyoshi
Kotoku, Akiyuki
Sakurai, Yuka
Miyairi, Takeshi
author_facet Maruhashi, Takaaki
Nishimaki, Hiroshi
Ogawa, Yukihisa
Chiba, Kiyoshi
Kotoku, Akiyuki
Sakurai, Yuka
Miyairi, Takeshi
author_sort Maruhashi, Takaaki
collection PubMed
description We report the case of a 83-year-old man with aneurysmal sac enlargement after endovascular aneurysm repair for an abdominal aortic aneurysm, despite no overt endoleak (EL) detected on imaging. Occult type II EL was suspected, and treatment was performed. However, the aneurysm continued to enlarge. Thus, we diagnose with type V EL as exclusion diagnosis. We combined an aortic cuff and stent-graft leg to cover the initially inserted stent graft, as a diagnostic treatment for unrefined type IIIb EL. Subsequently, the aneurysm diameter decreased. This technique and concept may be effective for type V EL, which may include another type occult EL.
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spelling pubmed-71401642020-04-09 Stent-Graft Relining by Combined Aortic Cuff with Double-D Technique for Type IIIb or V Endoleak after Endovascular Aneurysm Repair: A Case Report Maruhashi, Takaaki Nishimaki, Hiroshi Ogawa, Yukihisa Chiba, Kiyoshi Kotoku, Akiyuki Sakurai, Yuka Miyairi, Takeshi Ann Vasc Dis Case Report We report the case of a 83-year-old man with aneurysmal sac enlargement after endovascular aneurysm repair for an abdominal aortic aneurysm, despite no overt endoleak (EL) detected on imaging. Occult type II EL was suspected, and treatment was performed. However, the aneurysm continued to enlarge. Thus, we diagnose with type V EL as exclusion diagnosis. We combined an aortic cuff and stent-graft leg to cover the initially inserted stent graft, as a diagnostic treatment for unrefined type IIIb EL. Subsequently, the aneurysm diameter decreased. This technique and concept may be effective for type V EL, which may include another type occult EL. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2020-03-25 /pmc/articles/PMC7140164/ /pubmed/32273926 http://dx.doi.org/10.3400/avd.cr.19-00069 Text en Copyright © 2020 Annals of Vascular Diseases http://creativecommons.org/licenses/by-nc-sa/4.0/ ©2020 The Editorial Committee of Annals of Vascular Diseases. This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Maruhashi, Takaaki
Nishimaki, Hiroshi
Ogawa, Yukihisa
Chiba, Kiyoshi
Kotoku, Akiyuki
Sakurai, Yuka
Miyairi, Takeshi
Stent-Graft Relining by Combined Aortic Cuff with Double-D Technique for Type IIIb or V Endoleak after Endovascular Aneurysm Repair: A Case Report
title Stent-Graft Relining by Combined Aortic Cuff with Double-D Technique for Type IIIb or V Endoleak after Endovascular Aneurysm Repair: A Case Report
title_full Stent-Graft Relining by Combined Aortic Cuff with Double-D Technique for Type IIIb or V Endoleak after Endovascular Aneurysm Repair: A Case Report
title_fullStr Stent-Graft Relining by Combined Aortic Cuff with Double-D Technique for Type IIIb or V Endoleak after Endovascular Aneurysm Repair: A Case Report
title_full_unstemmed Stent-Graft Relining by Combined Aortic Cuff with Double-D Technique for Type IIIb or V Endoleak after Endovascular Aneurysm Repair: A Case Report
title_short Stent-Graft Relining by Combined Aortic Cuff with Double-D Technique for Type IIIb or V Endoleak after Endovascular Aneurysm Repair: A Case Report
title_sort stent-graft relining by combined aortic cuff with double-d technique for type iiib or v endoleak after endovascular aneurysm repair: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7140164/
https://www.ncbi.nlm.nih.gov/pubmed/32273926
http://dx.doi.org/10.3400/avd.cr.19-00069
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