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Azevedo AI, Braga P, Rodrigues A, et al. Persistent Type I Endoleak after Endovascular Treatment with Chimney Technique. Front Cardiovasc Med. 2016;3:32doi: 10.3389/fcvm.2016.00032.
Azevedo, A. I., Braga, P., Rodrigues, A., Ferreira, N., Fonseca, M., Dias, A., & Gama Ribeiro, V. (2016). Persistent Type I Endoleak after Endovascular Treatment with Chimney Technique. Frontiers in cardiovascular medicine, 332. https://doi.org/10.3389/fcvm.2016.00032
Azevedo, Ana Isabel, et al. "Persistent Type I Endoleak after Endovascular Treatment with Chimney Technique." Frontiers in cardiovascular medicine vol. 3 (2016): 32. doi: https://doi.org/10.3389/fcvm.2016.00032
Azevedo AI, Braga P, Rodrigues A, Ferreira N, Fonseca M, Dias A, Gama Ribeiro V. Persistent Type I Endoleak after Endovascular Treatment with Chimney Technique. Front Cardiovasc Med. 2016 Sep 20;3:32. doi: 10.3389/fcvm.2016.00032. eCollection 2016. PMID: 27703967; PMCID: PMC5028720.
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Front Cardiovasc Med. 2016 Sep 20;3:32. doi: 10.3389/fcvm.2016.00032. eCollection 2016.

Persistent Type I Endoleak after Endovascular Treatment with Chimney Technique.

Frontiers in cardiovascular medicine

Ana Isabel Azevedo, Pedro Braga, Alberto Rodrigues, Nuno Ferreira, Marlene Fonseca, Adelaide Dias, Vasco Gama Ribeiro

Affiliations

  1. Department of Cardiology, Vila Nova de Gaia/Espinho Hospital Center , Vila Nova de Gaia , Portugal.

PMID: 27703967 PMCID: PMC5028720 DOI: 10.3389/fcvm.2016.00032

Abstract

Thoracic endovascular aortic repair (TEVAR) is increasingly used in the treatment of acute type B aortic dissection. Type Ia endoleaks are a common complication of the procedure, but its clinical significance and the best treatment strategy remain poorly defined. We present a case of a type Ia endoleak following TEVAR in the treatment of acute type B aortic dissection. Chimney technique approach was used in an attempt to seal the endoleak. Although technical success was suboptimal, the patient remained clinically stable and event free. Data regarding the natural course and management of type Ia endoleaks following TEVAR for aortic dissection are sparse. Future research is required to establish the clinical and technical determinants of the need to treat these endoleaks and the best treatment strategy.

Keywords: aortic dissection; endoleak; endovascular aortic repair; endovascular intervention; vascular complications

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