ISSN 1016-5169 | E-ISSN 1308-4488
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Primary Endovascular Treatment of Late-Onset Type 3 Endovascular Aortic Repair Rupture Using The Endurant II Stent Graft and Rapid Response Protocol [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2022; 50(8): 613-616 | DOI: 10.5543/tkda.2022.22334

Primary Endovascular Treatment of Late-Onset Type 3 Endovascular Aortic Repair Rupture Using The Endurant II Stent Graft and Rapid Response Protocol

Deniz Mutlu1, İsmail Ateş2, Konstantinos Marmagkiolis3, Cezar A. Iliescu3, Mehmet Çilingiroğlu4
1Department of Cardiology, İstanbul University -Cerrahpaşa, Cerrahpaşa School of Medicine, İstanbul, Turkey
2Department of Cardiology, Bahçeşehir University School of Medicine, İstanbul, Turkey
3Department of Cardiology, University of Texas, MD Anderson Cancer Center, Houston, TX, USA
4University of Hawaii, John Burns School of Medicine, Honolulu, HI, USA

The objective of this article is to describe a patient with hemorrhagic shock due to type 3 post-endovascular aortic repair rupture successfully treated with the endurant II stent graft via a pri-mary endovascular approach with a rapid response protocol. A 65-year-old male patient who underwent endovascular aortic repair 3 years ago was admitted to the emergency department with severe abdominal pain and hemorrhagic shock. The patient was rapidly taken to the angi-ography laboratory, and aortography demonstrated distal aortic graft rupture and extravasation of contrast media. The repair was performed successfully with 3 stent-grafts by paying atten-tion to rupture localization and renal artery ostia. The hemodynamics of the patient improved very quickly, and the patient was discharged after 5 days. Emergency primary stent grafting using a rapid response protocol could be a crucial alternative to open surgery for late endoleaks, which are complicated with hemorrhagic shock.

Keywords: Abdominal aortic aneurysm, endovascular aneurysm repair, rapid response protocol, stent-graft, type 3 endoleak

How to cite this article
Deniz Mutlu, İsmail Ateş, Konstantinos Marmagkiolis, Cezar A. Iliescu, Mehmet Çilingiroğlu. Primary Endovascular Treatment of Late-Onset Type 3 Endovascular Aortic Repair Rupture Using The Endurant II Stent Graft and Rapid Response Protocol. Turk Kardiyol Dern Ars. 2022; 50(8): 613-616

Corresponding Author: Deniz Mutlu, Türkiye
Manuscript Language: English


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