Open repair of a type II endoleak facilitated by temporary disconnection of graft components

• DOI: 10.1016/j.jvscit.2020.12.005
• Publication Date: 2020-12-28T07:06:17Z
• Authors: Aisling Kelly; Conor Toale; David Power; Eamon G. Kavanagh; Michael A. Moloney
• Keywords: Innovative technique; Endovascular; Endoleak; RD1-811; Open repair; Aneurysm; Vascular surgery; 03 medical and health sciences; 0302 clinical medicine; RC666-701; Diseases of the circulatory (Cardiovascular) system; Surgery

Endoleaks are a frequent indication for reintervention after endovascular repair of an abdominal aortic aneurysm. Here we present a method of open repair of a persistent type II endoleak involving graft component separation and reconstruction, in a patient with symptomatic interval aneurysmal sac enlargement despite endovascular coiling and embolization. This case report demonstrates an alternative open technique of endograft component separation and reconstruction that may be required in cases where open repair with sac exploration and vessel oversewing is hindered by the graft position.