Open repair of type III endoleak with preservation of the endograft for a ruptured abdominal aortic aneurysm after endovascular aneurysm repair

Journal of Vascular Surgery Cases and Innovative Techniques

Cassius Iyad Ochoa Chaar, MD, MS¹  Kirthi Bellamkonda, MSc² 

[1] Division of Vascular Surgery and Endovascular Therapy, Yale School of Medicine, New Haven, Conn;Correspondence: Kirthi Bellamkonda, MSc, Division of Vascular Surgery and Endovascular Therapy, Yale School of Medicine, 333 Cedar St, New Haven, CT 06510;

关键词: Open conversion;    EVAR;    AAA rupture;    Endoleak;    Graft preservation;   

DOI  :  

来源: DOAJ

【 摘 要 】

Abdominal aortic aneurysm rupture after endovascular aneurysm repair (EVAR) is rare, but remains a significant limitation of endovascular technology. Preservation of the endograft during open conversion of a post-EVAR rupture has been shown to be associated with improved perioperative outcomes. An interposition Dacron graft with felt pledgets is a novel bail-out option for the open reconstruction of a type III endoleak with total endograft preservation. This technique is useful in high-risk patients presenting with ruptured abdominal aortic aneurysm after EVAR and no clear source of endoleak.

【 授权许可】

Unknown