"Pseudoendoleak"--residual intrasaccular contrast after endovascular stent-graft repair.

Published

Journal Article

PURPOSE: To present a unique demonstration of postoperative perigraft contrast masquerading as an endoleak following endovascular abdominal aortic aneurysm (AAA) repair. CASE REPORT: A 66-year-old man underwent endovascular stent-graft repair of a 4.6-cm infrarenal AAA. The procedure was uncomplicated, and intraoperative completion angiography demonstrated good proximal and distal fixation of the stent-graft without an endoleak. A spiral computed tomographic (CT) angiogram obtained on postoperative day 2 revealed a large amount of extrastent contrast along the posterior aspect of the aneurysm sac. This defect had the appearance of an endoleak, but it was also present on the non-contrast images. A color-flow duplex examination performed on the same day showed a widely patent stent-graft with no evidence of extrastent flow. CONCLUSIONS: Contrast trapped in the aneurysm sac during endovascular aneurysm repair may be misinterpreted as an endoleak on postprocedural CT scans. "Pseudoendoleaks" can be distinguished from true endoleaks by examination of prebolus, noncontrast CT images, as well as by duplex ultrasound scanning.

Full Text

Duke Authors

Cited Authors

  • Lee, WA; Rubin, GD; Johnson, BL; Arko, F; Fogarty, TJ; Zarins, CK

Published Date

  • February 2002

Published In

Volume / Issue

  • 9 / 1

Start / End Page

  • 119 - 123

PubMed ID

  • 11958315

Pubmed Central ID

  • 11958315

International Standard Serial Number (ISSN)

  • 1526-6028

Digital Object Identifier (DOI)

  • 10.1177/152660280200900119

Language

  • eng

Conference Location

  • United States