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Cardiovasc Intervent Radiol (2018) 41:1015–1020 https://doi.org/10.1007/s00270-018-1952-x CLINICAL INVESTIGATI O N A RTERIAL I NT ERVENTIONS Endovascular Aneurysm Sealing (EVAS) Alone or in Combination with Chimney Grafts (chEVAS) for Treating Complications of Previous Endovascular Aneurysm Repair (EVAR) Procedures 1 1 1 1 • • • • Kosmas I. Paraskevas Maria Karouki Adeeb Rehman Francesco Torella 2 3 1 • • Richard G. McWilliams Andrew England Robert K. Fisher Received: 10 August 2017 / Accepted: 28 March 2018 / Published online: 3 May 2018 Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2018 Abstract proven type IIIb endoleak. Two of the 3 undetermined Objective Late complications after previous endovascular endoleaks demonstrated continued sac expansion requiring aneurysm repair (EVAR) procedures include type I/III surgical exploration by laparotomy, during which type II endoleaks causing aneurysm growth and rupture. We endoleaks were identified. reviewed our results from the management of such com- Conclusions EVAS provides effective short-term treat- plications with endovascular aneurysm sealing (EVAS) ment of type Ia/IIIb endoleaks after EVAR. However, late techniques. complications may occur due to disease progression. Methods Analysis of our prospectively maintained aneur- Level of Evidence Level 4, case
CardioVascular and Interventional Radiology – Springer Journals
Published: May 3, 2018
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