The identification and management of the profunda femoris artery as a rare source of a late type II endoleak

Paul Ghaly; Kejia Wang; Delfino Di Mascio; Luke Baker; Mauro Vicaretti

doi:10.1016/j.jvscit.2021.10.004

The identification and management of the profunda femoris artery as a rare source of a late type II endoleak

J Vasc Surg Cases Innov Tech. 2021 Oct 21;7(4):759-762. doi: 10.1016/j.jvscit.2021.10.004. eCollection 2021 Dec.

Authors

Paul Ghaly¹, Kejia Wang¹, Delfino Di Mascio¹, Luke Baker², Mauro Vicaretti¹

Affiliations

¹ Vascular Surgery Department, Westmead Hospital, WSLHD, Sydney, NSW, Australia.
² Department of Interventional Radiology, Westmead Hospital, WSLHD, Sydney, NSW, Australia.

Abstract

Internal iliac artery aneurysms are found in 20% of abdominal aortic aneurysm cases, with a high mortality rate in the event of rupture. Type II endoleaks are a common complication after endovascular intervention. Transarterial or direct sac puncture techniques have superseded open surgical repair due to the challenging nature open surgery presents in accessing the feeding vessel(s). We describe the rare source of a late type II endoleak feeding from the profunda femoris in an 83-year-old man after fenestrated endovascular aortic aneurysm repair and concurrent embolization of the right internal iliac artery for treatment of a juxtarenal abdominal aortic aneurysm and internal iliac artery aneurysm.

Keywords: Aneurysm; EVAR; Endoleak; Onyx.

Publication types

Case Reports