Teutelink Arno, van der Laan Maarten J, Milner Ross, Blankensteijn Jan D
Division of Vascular Surgery, University Medical Center Utrecht, Heidelberglaan 100, 3508 GA Utrecht, The Netherlands.
J Vasc Surg. 2003 Oct;38(4):843-6. doi: 10.1016/s0741-5214(03)00416-6.
We present two case reports of type IIIb endoleak. One was due to fabric erosion caused by placement of a stent (Wallstent; W. L. Gore & Associates, Flagstaff, Ariz) after endovascular aneurysm repair; the other arose spontaneously. In both cases, an Ancure endograft (Guidant/EVT, Menlo Park, Calif) was placed.
In case 1, a large endoleak developed 36 months after uncomplicated endovascular treatment of an abdominal aortic aneurysm. In case 2, endoleak developed 30 months after a complicated procedure. In both cases, two Wallstents were used to treat type I endoleak and limb kinking in the first postoperative months. One type III endoleak was within the endograft at the level of the stents.
To our knowledge, these are the first type III endoleaks reported in association with Ancure endografts. Placement of Wallstents inside endografts is of concern, and another indication for close monitoring during follow-up.
