Successful laparoscopic repair of refractory type Ia endoleak after endovascular abdominal aortic aneurysm repair.

Howard, Adam Q; Sinha, Sidhartha; Edwards, Anthony; Ahmad, Ijaz; Backhouse, Christopher M; Davies, Jonathan · J Vasc Surg · 2015

case_report · Level V

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Abstract

Type I endoleaks associated with sac enlargement after endovascular abdominal aortic aneurysm repair mandate urgent intervention. Endoluminal treatments are generally considered first, but when these fail, open surgery has been advocated as a last resort. Open surgery is associated with significant mortality and morbidity, and thus, approaches that reduce this risk would be of interest. We report a successful case of laparoscopic treatment of a refractory type Ia endoleak after endovascular abdominal aortic aneurysm repair in an 83-year-old man.

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