{"title":"Iliac Relining over a Brachiofemoral Pullthrough Wire to Seal a Type IIIa Endoleak after EVAR for Aorto-iliac Aneurysms","authors":"A. Chaudhuri","doi":"10.1016/j.ejvsextra.2013.11.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>An endovascular solution to treating type IIIa endoleaks with component misalignment is presented.</p></div><div><h3>Case report</h3><p>A 68-year-old male presented with an enlarging 10 cm left common iliac artery aneurysm due to a type IIIa endoleak. Component gaps were successfully bridged by relining the left iliac circuit with new limbs deployed over a brachiofemoral pull-through wire.</p></div><div><h3>Discussion</h3><p>Type IIIa endoleaks may be not straightforward to repair if limb components are misaligned. A planned pullthrough wire allows for component re-alignment and successful treatment of this complication.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"27 1","pages":"Pages e1-e2"},"PeriodicalIF":0.0000,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.11.002","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"EJVES Extra","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1533316713000368","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract
Introduction
An endovascular solution to treating type IIIa endoleaks with component misalignment is presented.
Case report
A 68-year-old male presented with an enlarging 10 cm left common iliac artery aneurysm due to a type IIIa endoleak. Component gaps were successfully bridged by relining the left iliac circuit with new limbs deployed over a brachiofemoral pull-through wire.
Discussion
Type IIIa endoleaks may be not straightforward to repair if limb components are misaligned. A planned pullthrough wire allows for component re-alignment and successful treatment of this complication.
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