Treatment of a Delayed Type IIIb Endoleak 20 Years Post EVAR With Inverted Contralateral Limb Custom-Made Device: A Case Report.
Yun Le LinnKiang Hiong TayNick Zhi Peng NgShaun Qingwei LeeTjun Yip TangTze Tec ChongPublished in: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists (2022)
Our case highlights the need for lifelong surveillance post EVAR as endoleak may present decades post initial EVAR. It also demonstrates that many Type III endoleak which were otherwise deemed unsuitable for treatment with standard devices may potentially be treatable with custom-made device (CMD). This solution preserves a percutaneous option in a now older person which avoids surgical bypass. Further studies are required to establish the durability of this treatment and survey for recurrence.