title: Treatment options for late type III endoleaks after endovascular aneurysm repair.
abstract: Late type III endoleaks result from complete or partial separation of endograft device components. Component separation repressurizes the aortic sac and may result in aortic rupture. We report 4 cases of late type III endoleaks after initial successful endovascular aneurysm repair for abdominal aortic aneurysm. Our cases include 3 aortic cuff separations and 1 iliac limb separation. The average time before graft separation was 3.25 years with an average aneurysm size at re-presentation of 8.2 cm. Management of these complex cases will be discussed, the literature reviewed, and recommendations for treatment offered.
authors.affiliation: Keck School of Medicine at the University of Southern California, Los Angeles, CA.
authors.forename: Maia L
authors.initials: ML
authors.lastname: Eng
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Keck School of Medicine at the University of Southern California, Los Angeles, CA.
authors.forename: Michael B
authors.initials: MB
authors.lastname: Brewer
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Keck School of Medicine at the University of Southern California, Los Angeles, CA.
authors.forename: Vincent L
authors.initials: VL
authors.lastname: Rowe
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Keck School of Medicine at the University of Southern California, Los Angeles, CA. Electronic address: Fred.Weaver@med.usc.edu.
authors.forename: Fred A
authors.initials: FA
authors.lastname: Weaver
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / 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; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012086:Reoperation; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome