2016
DOI: 10.1016/j.ejvssr.2016.09.002
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Atypical Presentation of a Type 2 Endoleak following Emergency Open Repair of a Ruptured Abdominal Aortic Aneurysm

Abstract: BackgroundAn endoleak is a common complication following EVAR. Specifically, a Type 2 endoleak occurs because of retrograde flow from lumbar vessels outside the endograft within the aneurysm sac. Even though it is common following EVAR, it has not been identified as a complication following open ruptured abdominal aortic aneurysm (AAA) repair.ReportA 73-year-old male underwent open repair of a ruptured AAA. Five months later, computed tomography revealed filling from a lumbar vessel mimicking a Type 2 “endolea… Show more

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Cited by 2 publications
(7 citation statements)
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“…15 Few case reports were found in the literature that used endovascular techniques to repair a type II endoleak after OR. 6,9,10 In our case, despite initial intraoperative validation of cessation of flow within the aortic remnant, a late type II "endoleak" was identified on 6-month follow-up. This is a rare but known complication of the exclusion and ligation technique, noted to occur up to 4% on follow-up.…”
Section: Discussionmentioning
confidence: 60%
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“…15 Few case reports were found in the literature that used endovascular techniques to repair a type II endoleak after OR. 6,9,10 In our case, despite initial intraoperative validation of cessation of flow within the aortic remnant, a late type II "endoleak" was identified on 6-month follow-up. This is a rare but known complication of the exclusion and ligation technique, noted to occur up to 4% on follow-up.…”
Section: Discussionmentioning
confidence: 60%
“…The main sources for leak are the IMA and lumbar arteries, just as with EVAR. [9][10][11]14 The authors describe performing redo open operations to identify and ligate the bleeding vessels. Endovascular options also exist, including translumbar coiling, IMA coiling via the superior mesenteric artery, Onyx, and other polymer injections.…”
Section: Discussionmentioning
confidence: 99%
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