title: Successful treatment of a proximal type I endoleak with HeliFX EndoAnchors.
abstract: We report the use of Aptus HeliFX EndoAnchors for endovascular treatment of a proximal type I endoleak after previous endovascular aneurysm repair (EVAR) of a ruptured abdominal aortic aneurysm. An 81-year-old man had been treated with EVAR after a ruptured 12 × 11 cm abdominal aortic aneurysm. Standard computed tomographic angiography follow-up demonstrated a proximal type I endoleak. Because of the highly angulated neck and close position of the endograft to the renal arteries, placement of a proximal extension cuff was prohibited; therefore, the endoleak was treated with an alternative approach using the Aptus HeliFX EndoAnchors. Nine EndoAnchors were successfully placed circumferentially on the proximal site of the endograft. This successfully treated the endoleak by excluding the aneurysm sac from the circulation. Computed tomographic angiography follow-up after 3 months showed no residual type I endoleak. This case shows that placement of EndoAnchors can serve as a viable treatment option for proximal type I endoleaks after failed EVAR.
authors.affiliation: Section of Vascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT; Section of Interventional Radiology, Department of Radiology, Yale University School of Medicine, New Haven, CT. Electronic address: wouter.hogendoorn@yale.edu.
authors.forename: Wouter
authors.initials: W
authors.lastname: Hogendoorn
authors.affiliation: Section of Vascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT; Section of Interventional Radiology, Department of Radiology, Yale University School of Medicine, New Haven, CT.
authors.forename: Felix J V
authors.initials: FJ
authors.lastname: Schlösser
authors.affiliation: Section of Vascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT; Section of Interventional Radiology, Department of Radiology, Yale University School of Medicine, New Haven, CT.
authors.forename: John E
authors.initials: JE
authors.lastname: Aruny
authors.affiliation: Section of Vascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT; Section of Interventional Radiology, Department of Radiology, Yale University School of Medicine, New Haven, CT.
authors.forename: Jeffrey E
authors.initials: JE
authors.lastname: Indes
authors.affiliation: Section of Vascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT; Section of Interventional Radiology, Department of Radiology, Yale University School of Medicine, New Haven, CT.
authors.forename: Bauer E
authors.initials: BE
authors.lastname: Sumpio
authors.affiliation: Section of Vascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT; Section of Interventional Radiology, Department of Radiology, Yale University School of Medicine, New Haven, CT.
authors.forename: Bart E
authors.initials: BE
authors.lastname: Muhs
mesh_terms: D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery*; D001019:Aortic Rupture / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D057867:Endoleak / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D057510:Endovascular Procedures / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D008297:Male; D012086:Reoperation; D015607:Stents; D017792:Surgical Stapling / Q000295:instrumentation*; D013537:Sutures; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome