J Korean Surg Soc.  2012 Jan;82(1):59-62. 10.4174/jkss.2012.82.1.59.

Successful treatment of type I endoleak of common iliac artery with balloon expandable stent (Palmaz XL stent) during endovascular aneurysm repair

• Ahn JH
• Kim JY
• Jeon YS
• Cho SG
• Park JK
• Lee KJ
• Hong KC

• KMID: 1437764
• DOI: http://doi.org/10.4174/jkss.2012.82.1.59

Abstract

Type 1 endoleak of common iliac artery (type Ib endoleak) should be treated during endovascular aneurysm repair (EVAR). An 86-year-old female was diagnosed with abdominal aortic aneurysm measuring 6.6 cm in diameter and right internal iliac artery aneurysm measuring 4.0 cm in diameter. She underwent EVAR after right internal iliac artery embolization. There was type Ib endoleak, which was repaired by balloon-expandable stent, Palmaz XL stent (Cordis). We report successful treatment of type Ib endoleak with Palmaz XL stent, which may be considered as an alternative option for type Ib endoleak after EVAR.

Keyword

Abdominal aortic aneurysm; Endovascular procedure; Endoleak

MeSH Terms

Aged, 80 and over
Aneurysm
Aortic Aneurysm, Abdominal
Endoleak
Endovascular Procedures
Female
Humans
Iliac Artery
Stents

Figure

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  Fig. 1 Preoperative computed tomography of abdominal aortic aneurysm (AAA) revealed aortic neck was 24 mm in diameter, 20 mm in length and 80 degrees in angulation (A). Aortic aneurysm was 66 × 74 mm in diameter (B). Right common iliac artery was 24 mm and left common iliac artery was 22 mm in diameter (C). There was an aneurysm in right internal iliac artery, which was 40 mm in diameter (D, arrow). Fig. 1E shows diagram of AAA.

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  Fig. 2 (A) Angiography showed type I endoleak in left common iliac artery. (B) Palmaz XL stent was deployed in left common iliac artery. (C) Completion angiography showed disappearance of type I endoleak after Palmaz XL stent insertion.

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  Fig. 3 There was no endoleak found in aortic neck (A, B), aneurysm (C, D) and iliac arteries (E, F) on computed tomography scan in 1 month after endovascular aneurysm repair. Left common iliac artery was sealed by endograft and Palmaz XL stent (E). Right internal iliac artery was occluded by Amplatzer vascular plug (F). Endograft and Palmaz XL stent in left common iliac artery were magnified (G).

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