Proximal iliac limb extension and embolization: a new technique of complete endovascular management of an unfavorably sited type III endoleak

Özet

Type III endoleak is an uncommon but life-threatening complication of endovascular aorticrepair, and such leaks at certain sites can be challenging to treat through an endovascularroute. A 77-year-old man presented with severe abdominal pain and was found to have anabdominal aortic aneurysm with contained rupture due to an unfavorably cited type IIIbendoleak. He was successfully treated with an endovascular approach using bilateral iliaclimb proximal extension combined with embolization of endoleak sac, endoleak site and thefeeding recess, preserving flow through both the iliac limbs obviating the need for an additional femorofemoral bypass. The patient improved clinically and had a favorable long-termfollow-up profile.