Successful treatment of a persistent type IA endoleak with endoanchors following chimney endovascular aortic repair

Aaron Hayson, MD; Ahmad Hallak, MD; Davis Moon, MD; Samuel Money, MD; Waldemar Charles Sternbergh, III, MD; Clayton Brinster, MD

Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2022)

Successful treatment of a persistent type IA endoleak with endoanchors following chimney endovascular aortic repair

Aaron Hayson, MD,
Ahmad Hallak, MD,
Davis Moon, MD,
Samuel Money, MD,
Waldemar Charles Sternbergh, III, MD,
Clayton Brinster, MD

Affiliations

Aaron Hayson, MD: Correspondence: Aaron Hayson, MD, Ochsner Clinic Foundation, 1514 Jefferson Hwy, New Orleans, LA 70121; Section of Vascular/Endovascular Surgery, Department of Surgery, Ochsner Health, New Orleans, LA
Ahmad Hallak, MD: Section of Vascular/Endovascular Surgery, Department of Surgery, Ochsner Health, New Orleans, LA
Davis Moon, MD: Section of Vascular/Endovascular Surgery, Department of Surgery, Ochsner Health, New Orleans, LA
Samuel Money, MD: Section of Vascular/Endovascular Surgery, Department of Surgery, Ochsner Health, New Orleans, LA
Waldemar Charles Sternbergh, III, MD: Section of Vascular/Endovascular Surgery, Department of Surgery, Ochsner Health, New Orleans, LA
Clayton Brinster, MD: Section of Vascular/Endovascular Surgery, Department of Surgery, Ochsner Health, New Orleans, LA

Journal volume & issue: Vol. 8, no. 4
pp. 854 – 858

Abstract

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The chimney endovascular aortic repair technique has become an increasingly used option for the treatment of juxtarenal aortic aneurysms; however, type IA and gutter endoleaks complicate this approach in up to 5.9% of cases. Successful treatment of these leaks is challenging. We report a case of a patient who underwent two-vessel chimney endovascular aortic repair in the treatment of a 5.9-cm juxtarenal aortic aneurysm and developed a type IA endoleak. The endoleak was successfully treated with Heli-FX EndoAnchor placement. Resolution of the endoleak was noted at continued follow-up through 54 months.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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