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CC BY 4.0 · Aorta (Stamford) 2022; 10(01): 035-037
DOI: 10.1055/s-0042-1743197
Case Report

A Misdiagnosed Case of Endoleak Type-III Caused by Inadvertent Bilateral Limb Insertion in the Same Limb Gate of the Ovation Endograft

Efstratios Georgakarakos 
1   Department of Vascular Surgery, “Democritus” University of Thrace, University Hospital of Alexandroupolis, Alexandroupolis, Greece
,
Andreas Koutsoumpelis
1   Department of Vascular Surgery, “Democritus” University of Thrace, University Hospital of Alexandroupolis, Alexandroupolis, Greece
,
Panagiotis Kostoglou 
2   First University Surgical Department, University Hospital of Alexandropoulis, Democritus University of Thrace, Alexandroupolis, Greece
,
Kalliopi-Maria Tasopoulou 
1   Department of Vascular Surgery, “Democritus” University of Thrace, University Hospital of Alexandroupolis, Alexandroupolis, Greece
,
Christos Argyriou
1   Department of Vascular Surgery, “Democritus” University of Thrace, University Hospital of Alexandroupolis, Alexandroupolis, Greece
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Abstract

We describe an infrequent case of endoleak Type-III due to an unrecognized, inadvertent bilateral limb deployment into the same limb gate of the Ovation aortic endograft, accompanied by thrombosis and acute ischemia. The following computed tomography angiography revealed the open limb gate with the characteristic of radio-opaque polymer in the sealing rings. Intraoperative angiographies via the brachial route identified the open limb gate and facilitated the successful use of an occluding plug to manage the Type-III endoleak.

Keywords

endoleak - Ovation - endovascular aneurysm repair - Amplatz - occluding plug


Publication History

Received: 10 March 2021

Accepted: 03 September 2021

Article published online:
31 May 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Georgakarakos E, Ioannou CV, Georgiadis GS. et al. The ovation abdominal stent graft for the treatment of abdominal aortic aneurysms: current evidence and future perspectives. Expert Rev Med Devices 2016; 13 (03) 253-262
    CrossrefPubMedGoogle Scholar
  • 2 Georgakarakos E, Trellopoulos G, Ioannou CV, Tsetis D. Technical challenges encountered during deployment of the ovation abdominal aortic stent-graft system. J Endovasc Ther 2014; 21 (02) 333-338
    CrossrefPubMedGoogle Scholar
  • 3 Trellopoulos G, Georgiadis GS, Nikolopoulos ES, Lazarides MK. Current tips for ensuring successful transfemoral short limb cannulation in modular aortic endografts: a new method for incorporation in practice. Perspect Vasc Surg Endovasc Ther 2009; 21 (04) 232-236
    CrossrefPubMedGoogle Scholar
  • 4 Cannavale A, Lucatelli P, Corona M. et al. Current assessment and management of endoleaks after advanced EVAR: new devices, new endoleaks?. Expert Rev Cardiovasc Ther 2020; 18 (08) 465-473
    CrossrefPubMedGoogle Scholar
  • 5 Chaudhuri A. “The Ovation Trap”: when an endoleak is not an endoleak. Eur J Vasc Endovasc Surg 2020; 60 (02) 292
    CrossrefPubMedGoogle Scholar
  • 6 Georgakarakos E, Ioannou CV, Kontopodis N, Tsetis D. A case of difficult catheterization of the contralateral limb of the Ovation Abdominal Stent Graft System in challenging aortoiliac anatomy, facilitated through the brachial access: a word of caution. Ann Vasc Surg 2015; 29 (02) 392-396
    CrossrefPubMedGoogle Scholar
  • 7 Bertoglio L, Salvati S, Fittipaldi A. et al. Carotid to subclavian bypass and Amplatzer vascular plug subclavian endovascular occlusion before thoracic open or endovascular repair. J Vasc Surg 2020; 71 (05) 1480-1488.e1
    CrossrefPubMedGoogle Scholar
  • 8 Güneyli S, Çinar C, Bozkaya H, Parıldar M, Oran İ. Applications of the Amplatzer Vascular Plug to various vascular lesions. Diagn Interv Radiol 2014; 20 (02) 155-159
    PubMedGoogle Scholar