Case Report: Treatment of Type 1C Endoleak after Endovascular Abdominal Aortic Aneurysm Repair Using Covered Stent from the between the External Iliac and the Internal Iliac Arteries
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- Category: Vol. 79, September 2011
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Case Report: Treatment of Type 1C Endoleak after Endovascular Abdominal Aortic Aneurysm Repair Using Covered Stent from the between the External Iliac and the Internal Iliac Arteries MUSAAD AL-GHAMDI, M.D.; MAT ROBESON, M.D.; SHUN MACDONALD, M.D. and JASON CLEMENT, M.D.
Abstract
Purpose: To report a case with successful endovascular repairs of type 1c endoleak (EL) by excluding the source of the common iliac artery using endo-graft.
Method and Result: 84-year old male patient underwent an endovascular repair of 5.7cm abdominal aorta aneurysm (AAA) by endografting with aorto-uni endogrft and femoral-femoral crossover and Amblatzer occlusion device was used in the right common iliac artery. The patient developed Type 1C EL around the amblatzer with sac expansion in the follow-up CT scan. After a failed trial of coil embolization, we were successfully able to exclude the source of EL by using endograft between the external and the ipsilateral internal iliac artery.
Conclusions: This case demonstrates the importance of follow-up and close monitoring of the type 1 EL and the successful management with endovascular approach avoiding major complications.