Fabric tears as a new cause of type III endoleak with ancure endograft

Teutelink, Arno; Laan, Maarten J. van der; Milner, Ross; Blankensteijn, Jan D.

doi:10.1016/s0741-5214(03)00416-6

Cited by 46 publications

(39 citation statements)

References 17 publications

(18 reference statements)

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“…7 Type III endoleak due to fabric defect is a rare but serious complication. It has been reported with other stent graft systems [8][9][10] and with the Zenith system in one case report in which the fabric tear was caused by balloon modeling during the implantation procedure. 11 No instance of late fabric disruption in a Zenith stent graft has previously been reported.…”

Section: Discussionmentioning

confidence: 87%

First report of a late type III endoleak from fabric tears of a Zenith stent graft

Wanhainen

Nyman

Eriksson

et al. 2008

Journal of Vascular Surgery

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We report a case of a late type III endoleak from a hole in the fabric of the main body of a Zenith bifurcated endograft 7 years after implantation. Abdominal pain and a rapidly expanding aneurysm were eventually followed by rupture. The defect was detected at open surgery, whereas no evidence of endoleak was found at preoperative computed tomography (CT) or angiogram. The defect was repaired by a relining procedure with an Excluder stent graft. The patient, however, died 3 weeks after admission.

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Section: Discussionmentioning

confidence: 87%

First report of a late type III endoleak from fabric tears of a Zenith stent graft

Wanhainen

Nyman

Eriksson

et al. 2008

Journal of Vascular Surgery

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“…8 In the case presented, the type III endoleak in the main device body was visualized after complete device deployment, leaving no possibility of withdrawing the endograft, and a narrow left iliac segment would not allow for deployment of a second bifurcated device body. To avoid open surgical repair, conversion to an aortomonoiliac design with femorofemoral crossover bypass was therefore chosen.…”

Section: Discussionmentioning

confidence: 81%

“…6 Transgraft (type III) endoleaks are caused either by disconnection of the components of a modular endograft system (IIIa) or by a direct defect in the stent-covering graft fabric (IIIb). 7,8 Large studies have reported incidence rates of type III endoleaks ranging from 0.7% to 7% after EVAR. [9][10][11] While it appears safe to observe branch vessel (type II) endoleaks unless the aneurysm enlarges, type III endoleaks, similar to attachment zone (type I) endoleaks, are strongly correlated with adverse events like aneurysm growth or rupture, and mandate reintervention.…”

Section: Introductionmentioning

confidence: 99%

Management of a Large Intraoperative Type IIIb Endoleak in a Bifurcated Endograft

Biebl

Hakaim

Oldenburg

et al. 2005

Vasc Endovascular Surg

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The purpose of this paper is to describe the intraoperative management of a type IIIb endoleak after deployment of a bifurcated endograft in a patient with narrow iliac access vessels. A 62-year-old man underwent elective endovascular repair (EVAR) of a 53 mm abdominal aortic aneurysm. After device deployment, a large IIIb endoleak, arising from the main body of the device, was visualized. Narrow iliac vessels precluded deployment of a second bifurcated graft, and the endoleak was successfully excluded with an aortomonoiliac device, followed by contralateral iliac occlusion and subsequent creation of a femorofemoral bypass. At 1-year follow-up, the aneurysm remains excluded and is decreasing in size. Type III endoleaks are a known complication of EVAR, requiring immediate treatment through their association with aneurysm enlargement and rupture. If an additional bifurcated graft cannot be used, aortomonoiliac conversion represents a feasible endovascular alternative treatment for type III endoleaks, other than conversion to open surgical repair. Therefore, aortomonoiliac converters with appropriate occluder devices should be readily available during deployment of bifurcated devices.

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“…5,9 Type III endoleaks should be treated promptly because direct endoleaks are associated with considerable risk of aneurysm rupture. [10][11][12] Treatment, which can be endovascular or open, is chosen according to anatomic features. In our case, treatment with an aorto-uni-iliac device (Zenith Renu; 32/115 mm) was chosen because it was felt that this was the easiest way to solve the problem.…”

Section: Discussionmentioning

confidence: 99%

Early type III endoleak with an Endurant endograft

Abouliatim¹,

Gouicem²,

Kobeiter

et al. 2010

Journal of Vascular Surgery

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We report the case of an 81-year-old man who presented with an intraoperative type III endoleak after treatment with an Endurant endograft for a 60-mm abdominal aortic aneurysm. To our knowledge, this is the first case of a type III endoleak reported with this new device. It was most likely due to a tear in the polyester graft, the cause of which remains speculative. The tear was demonstrated by postoperative angiography, which was more informative than computed tomography. The endoleak was successfully treated by relining with an aorto-uni-iliac device.

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Fabric tears as a new cause of type III endoleak with ancure endograft

Abstract: To our knowledge, these are the first type III endoleaks reported in association with Ancure endografts. Placement of Wallstents inside endografts is of concern, and another indication for close monitoring during follow-up.

Cited by 46 publications

References 17 publications

First report of a late type III endoleak from fabric tears of a Zenith stent graft

First report of a late type III endoleak from fabric tears of a Zenith stent graft

Management of a Large Intraoperative Type IIIb Endoleak in a Bifurcated Endograft

Early type III endoleak with an Endurant endograft

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