Publication at Faculty of Medicine in Hradec Králové |
2022
Abstract
We present a successful urgent endovascular treatment of symptomatic endoleak (EL) 7 years after primary implantation of a bifurcation stent graft (SG) into abdominal aortic aneurysm in an elderly, polymorbid man with solitary kidney. Combined parallel insertion of a renal SG from the brachial approach and proximal extension of distally migrated SG from the femoral approach resulted in the resolution of type IA EL while preserving perfusion of the solitary renal artery.
Subsequently, the apparent type II EL was successfully treated by direct, transabdominal injection of thrombin into the aneurysm sac. At follow-up 8 weeks after thrombin application, the patient was free of EL and associated clinical symptoms.