Endocrinology & Metabolic Syndrome
Open Access
ISSN: 2161-1017
ISSN: 2161-1017
George Eskandar
North Wales Hospitals, United Kingdom
Scientific Tracks Abstracts: Endocrinol Metab Syndr
Introduction: It has been almost three decades since the introduction of endovascular prosthesis for Aortic reconstruction of Abdominal aortic Aneurysm, however the technology is still evolving and search for the ideal device and optimal approach which is complication free and most durable continues. Endoleaks are one of the most common complications following EVAR. Endoleak is defined as persistence of blood flow, outside an endovascular graft but within the aneurysm sac in which the graft is placed. It is further classified into different types according to the source of aberrant blood flow. Type 3b endoleak originates from a defect in the graft fabric. Here we report a case of late type 3b endoleak from a tear in the main body of an Endurant (Medtronic) endograft, approximately 36 months post endovascular repair of infra renal abdominal aortic aneurysm. Conclusion: The case highlights the importance of continued surveillance of endovascular aortic grafts and the challenges to diagnose late type 3b Endoleak, a rare cause of sac expansion following successful Endovascular treatment of Abdominal Aortic Aneurysm.For patients who had undergone EVAR, type III endoleaks can present decades later and pose a significant risk of aneurysmal rupture. Once identified, early treatment is often warranted. While the improvements in successive generations of stent-grafts may have reduced rates of endoleaks, the current long-term data for patient outcomes post EVAR suggests the need for life-long aortic stent-graft surveillance.
George is a vascular surgery registrar, mainly works in vascular and general surgery. He is interested in aorta and carotid research. He has at least 6 published papers. Through his work he hopes that his research activity would be valuable to help people all over the world. George Eskandar is working as a general and vascular Surgeon in James Cook University Hospital, England in UK.