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

Aaron Hayson; Ahmad Hallak; Davis Moon; Samuel Money; Waldemar Charles Sternbergh 3rd; Clayton Brinster

doi:10.1016/j.jvscit.2022.10.018

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

J Vasc Surg Cases Innov Tech. 2022 Nov 3;8(4):854-858. doi: 10.1016/j.jvscit.2022.10.018. eCollection 2022 Dec.

Authors

Aaron Hayson¹, Ahmad Hallak¹, Davis Moon¹, Samuel Money¹, Waldemar Charles Sternbergh 3rd¹, Clayton Brinster¹

Affiliation

¹ Section of Vascular/Endovascular Surgery, Department of Surgery, Ochsner Health, New Orleans, LA.

Abstract

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.

Keywords: Aortic aneurysm; Endoanchors; Endoleak; Type 1a; ch-EVAR.

Publication types

Case Reports