title: Successful laparoscopic repair of refractory type Ia endoleak after endovascular abdominal aortic aneurysm repair.
abstract: Type I endoleaks associated with sac enlargement after endovascular abdominal aortic aneurysm repair mandate urgent intervention. Endoluminal treatments are generally considered first, but when these fail, open surgery has been advocated as a last resort. Open surgery is associated with significant mortality and morbidity, and thus, approaches that reduce this risk would be of interest. We report a successful case of laparoscopic treatment of a refractory type Ia endoleak after endovascular abdominal aortic aneurysm repair in an 83-year-old man.
authors.affiliation: Department of Vascular Surgery, Colchester Hospital University Foundation Trust, Colchester, United Kingdom. Electronic address: adam.howard@colchesterhospital.nhs.uk.
authors.forename: Adam Q
authors.initials: AQ
authors.lastname: Howard
authors.affiliation: Department of Vascular Surgery, Colchester Hospital University Foundation Trust, Colchester, United Kingdom.
authors.forename: Sidhartha
authors.initials: S
authors.lastname: Sinha
authors.affiliation: Departments of Vascular Surgery and Interventional Radiology, Royal Cornwall Hospitals NHS Trust, Truro, United Kingdom.
authors.forename: Anthony
authors.initials: A
authors.lastname: Edwards
authors.affiliation: Department of Vascular Surgery, Colchester Hospital University Foundation Trust, Colchester, United Kingdom.
authors.forename: Ijaz
authors.initials: I
authors.lastname: Ahmad
authors.affiliation: Department of Vascular Surgery, Colchester Hospital University Foundation Trust, Colchester, United Kingdom.
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Backhouse
authors.affiliation: Departments of Vascular Surgery and Interventional Radiology, Royal Cornwall Hospitals NHS Trust, Truro, United Kingdom.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Davies
mesh_terms: D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D057867:Endoleak / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D057510:Endovascular Procedures / Q000009:adverse effects*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color