A Successful Case of Aortic Banding for Type Ia Endoleak after EVAR

DOI
  • Masuda Tomoaki
    Department of Cardiovascular Surgery, Kagawa Prefectural Central Hospital
  • Yamamoto Shu
    Department of Cardiovascular Surgery, Kagawa Prefectural Central Hospital
  • Suezawa Takanori
    Department of Cardiovascular Surgery, Kagawa Prefectural Central Hospital
  • Shichijo Takeshi
    Department of Cardiovascular Surgery, Kagawa Prefectural Central Hospital

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Other Title
  • EVAR 後のtype Ia endoleak に対して中枢側ネックの大動脈バンディングが奏効した1 例

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Description

Type Ia endoleak after endovascular aneurysm repair (EVAR) needs immediate treatment for the risk of rupture by enlargement of aneurysms. An 85-year-old woman with type Ia endoleak 5 years after EVAR was treated with embolization using NBCA and coil. But, 5 months after embolization, the patient showed imminent aneurysm rupture with back pain and recurrence of type Ia endoleak. Additional endovascular treatment was unsuitable, because endoleak was caused by proximal neck enlargement. And it was indication for aortic banding. Type Ia endoleak disappeared after banding, and she discharged 9 days after operation. Aortic banding may be effective for type Ia endoleak caused by proximal neck enlargement after EVAR.

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