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Late‐onset type I endoleak characterized by contrast enhanced ultrasound after endovascular repair of aortic aneurysm
Author(s) -
Gifford John Nathan,
Cheong Hsueh Wen,
Teoh Wey Chyi
Publication year - 2017
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22556
Subject(s) - medicine , abdominal aortic aneurysm , endovascular aneurysm repair , contrast enhanced ultrasound , stent , radiology , aneurysm , ultrasound , aortic aneurysm , surgery
We report in the case of a patient with an intra‐abdominal aortic aneurysm treated with endovascular aneurysm repair (EVAR) who developed renal impairment during the period of follow up. The repair was complicated with an early‐onset type II endoleak which later evolved into a late‐onset type I endoleak. It was treated with proximal extension of stent graft, with treatment success and follow‐up documented on contrast enhanced ultrasound (CEUS). This case illustrates the usefulness of CEUS in post‐EVAR surveillance and emphasizes the need for life‐long monitoring as late‐onset complications are not uncommon.