carotid stump syndrome should be considered as a likely clinical entity in patients with an occluded ICA and persisting cerebral and retinal microembolic symptoms. Surgical exclusion of the carotid stump is a safe and effective method of treatment.
Highlights
Late type III endoleak is a rare but potentially life-threatening complication post endovascular aortic aneurysm repair.
They can present only decades after surgery, even after an extended complication-free period.
First line treatment often employs an endovascular approach to realign the endoleak with additional stent-grafts.
Current long-term data for EVAR-related complications highlights the need for life-long stent-graft surveillance.
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