Aorta Extender Indwelling in the Aneurysm for Prevention of TypeII Endoleak

Abstract

TypeII endoleak after endovascular aneurysm repair (EVAR) is one of most frequent complications. Some cases require additional treatment because of the aneurysm enlargement due to endoleaks. However, management of TypeII endoleaks, the indication of secondary treatment and prophylactic treatment are controversial. Herein, we have devised a method of coverage the IMA using the Aorta Extender for prevention of TypeII endoleak prior to EVAR. We carried out this method for two cases with good results. Postoperative CT showed no endoleak and no aneurysm enlargement 1 year after EVAR.