Author/Authors :
AL-GHAMDI, MUSAAD St. Paul Hospital - Department of Vascular Surgery, Canada , ROBESON, MAT St. Paul Hospital - Department of Vascular Surgery, Canada , MACDONALD, SHUN St. Paul Hospital - Department of Vascular Surgery, Canada , CLEMENT, JASON St. Paul Hospital - Department of Vascular Surgery, Canada
Abstract :
Purpose: To report a case with successful endovascular repairs of type 1c endoleak (EL) by excluding the source of the common iliac artery using endo-graft. Method and Result: 84-year old male patient underwent an endovascular repair of 5.7cm abdominal aorta aneurysm (AAA) by endografting with aorto-uni endogrft and femoral-femoral crossover and Amblatzer occlusion device was used in the right common iliac artery. The patient developed Type 1C EL around the amblatzer with sac expansion in the follow-up CT scan. After a failed trial of coil embolization, we were successfully able to exclude the source of EL by using endograft between the external and the ipsilateral internal iliac artery.Conclusions: This case demonstrates the importance of follow-up and close monitoring of the type 1 EL and the successful management with endovascular approach avoiding major complications.
