Endoleak: type II

Case contributed by Dr Abraão Kupske

Presentation

Follow up of infrarenal abdominal aortic aneurysm treated with endoprosthesis.

Patient Data

Age: 87
Gender: Male
CT

Endoprosthesis aorto-bi-iliac.

Aneurysmal sac of the infrarenal abdominal aorta, which measures 61 x 60 mm. Extravasation of contrast medium (endoleak) at the back of the aneurysmal sac, especially through the sacral artery.

Case Discussion

Type II endoleak are the most common type of complication following endovascular aneurysm repair. Retrograde flow through branch vessels as inferior mesenteric artery continue to fill the aneurysm sac. It usually resolves spontaneously over time and requires no treatment unless aneurysmal sac continues to expand in size.

On this case, there is leakage through the recanalized sacral artery, with extravasation into the inferior-posterior segment, featuring type 2 endoleak.

Due to the patient old age it was only followed up.

PlayAdd to Share

Case information

rID: 43584
Case created: 17th Mar 2016
Last edited: 16th Aug 2016
System: Vascular
Inclusion in quiz mode: Excluded

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.