An Uncommon Case of Type III Endoleak Treated with a Custom-made Thoracic Stent Graft

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• 作者：Mafalda Massara¹ ; David Barillà ; ¹ ; Gaetana Franco² ; Alberto Volpe³ ; Raffaele Serra⁴ ; ⁵ ; ^{rserra@unicz.it" class="auth_mail" title="E-mail the corresponding author} ; Giovanni De Caridi⁶ ; Antonino Alberti¹ ; Pietro Volpe¹
• 刊名：Annals of Vascular Surgery
• 出版年：2016
• 出版时间：August 2016
• 年：2016
• 卷：35
• 期：Complete
• 页码：206.e1-206.e3
• 全文大小：451 K

文摘

Endovascular aortic repair (EVAR) has been shown to be a valid and minimally invasive alternative to open abdominal aortic aneurysm repair. A major shortcoming for EVAR is the need to submit patients to regular follow-up to detect potential complications such as endoleak, limb occlusion, aneurysm expansion, aneurysm rupture, infection, structural failure, and migration. In this case report, we describe an uncommon case of late type III endoleak due to complete detachment of the stent-graft main body segment from its suprarenal uncovered fixation stent. It was treated with a custom-made Relay^® NBS Plus (Bolton Medical, Barcelona, Spain) thoracic stent graft which also provided extra suprarenal fixation of the thoracic stent graft in the proximal neck. The postoperative period was uneventful and a computed tomography scan 1 year later revealed proper positioning of the stent graft and no signs of endoleak. The successful strategy chosen to correct this complication was at the same time original and infrequent, and also avoided potential complications related to open surgical repair and general anesthesia.