Persisting iliaco-caval fistula after EVAR maintained by a type II endoleak.
We present the case of a patient with a persisting type II endoleak after endovascular repair of an iliac aneurysm with an iliaco-caval fistula. We describe the pathophysiological mechanism behind this phenomenon and discuss why conservative treatment is unlikely to seal this type of endoleak. A more aggressive treatment strategy is therefore advocated.
Division of Vascular Surgery, Department of Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Sjannieke A H
SA
Jeuriëns-van de Ven
Arjan P
AP
Schouten van der Velden
Leo J M
LJ
Schultze Kool
J Adam
JA
van der Vliet
Paul
P
Berger
D000368:Aged; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D003097:Collateral Circulation; D004621:Embolization, Therapeutic; D057867:Endoleak / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D057510:Endovascular Procedures / Q000009:adverse effects*; D006439:Hemodynamics; D006801:Humans; D017543:Iliac Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D008297:Male; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000503:physiopathology