Case Report of Late Type IIIb Endoleak with Willis Covered Stent (WCS) and Literature Review
We report a case of late type IIIb endoleak with Willis covered stent (WCS) developed 14 months after endovascular paraclinoid aneurysm repair. A 52-year-old woman presented with episodic headache, caused by a giant paraclinoid aneurysm. She underwent a successful 3.5 x 16mm WCS positioning to treat...
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| Veröffentlicht in: | World neurosurgery 2019-10, Vol.130, p.160-164 |
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| creator | Zeng, Shi Yang, Huajiang Yang, Donghong Xu, LunShan Xu, MinHui Wang, Hao |
| description | We report a case of late type IIIb endoleak with Willis covered stent (WCS) developed 14 months after endovascular paraclinoid aneurysm repair.
A 52-year-old woman presented with episodic headache, caused by a giant paraclinoid aneurysm. She underwent a successful 3.5 x 16mm WCS positioning to treat the aneurysm. Fourteen months later, the patient was admitted with the same symptoms. Digital subtraction angiography examination showed recurrence of the aneurysm, which was similar to the preoperative one. DynaCT (Siemens, Erlangen, Germany) indicated the intact of the metal structure of the stent without migration. Type IIIb endoleak (defect in the graft fabric) was confirmed with a whole aneurysm neck located in the middle part of the stent. The type IIIb endoleak was treated with another WCS (4.0 x 16mm). The immediate digital subtraction angiography imaging indicated that the endoleak disappeared and the aneurysm was completely occluded. Re-examination done 1 year after the second treatment showed a complete exclusion of the aneurysm sac.
Type IIIb endoleaks can be safely treated by the endovascular positioning of another WCS. Continuous surveillance after endovascular paraclinoid aneurysm repair for intracranial aneurysms is warranted to make ensure the safety of WCS. |
| doi_str_mv | 10.1016/j.wneu.2019.06.105 |
| format | Article |
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A 52-year-old woman presented with episodic headache, caused by a giant paraclinoid aneurysm. She underwent a successful 3.5 x 16mm WCS positioning to treat the aneurysm. Fourteen months later, the patient was admitted with the same symptoms. Digital subtraction angiography examination showed recurrence of the aneurysm, which was similar to the preoperative one. DynaCT (Siemens, Erlangen, Germany) indicated the intact of the metal structure of the stent without migration. Type IIIb endoleak (defect in the graft fabric) was confirmed with a whole aneurysm neck located in the middle part of the stent. The type IIIb endoleak was treated with another WCS (4.0 x 16mm). The immediate digital subtraction angiography imaging indicated that the endoleak disappeared and the aneurysm was completely occluded. Re-examination done 1 year after the second treatment showed a complete exclusion of the aneurysm sac.
Type IIIb endoleaks can be safely treated by the endovascular positioning of another WCS. Continuous surveillance after endovascular paraclinoid aneurysm repair for intracranial aneurysms is warranted to make ensure the safety of WCS.</description><identifier>ISSN: 1878-8750</identifier><identifier>EISSN: 1878-8769</identifier><identifier>DOI: 10.1016/j.wneu.2019.06.105</identifier><identifier>PMID: 31233925</identifier><language>eng</language><publisher>United States</publisher><subject>Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation - methods ; Endoleak - diagnosis ; Endoleak - surgery ; Female ; Humans ; Intracranial Aneurysm - surgery ; Middle Aged ; Neoplasm Recurrence, Local - diagnosis ; Neoplasm Recurrence, Local - surgery ; Stents - adverse effects</subject><ispartof>World neurosurgery, 2019-10, Vol.130, p.160-164</ispartof><rights>Copyright © 2019 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c303t-b8825b2f025cb9f455fac89febebb02374821b193d55938acdf00297685289133</citedby><cites>FETCH-LOGICAL-c303t-b8825b2f025cb9f455fac89febebb02374821b193d55938acdf00297685289133</cites><orcidid>0000-0001-8255-0900</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31233925$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zeng, Shi</creatorcontrib><creatorcontrib>Yang, Huajiang</creatorcontrib><creatorcontrib>Yang, Donghong</creatorcontrib><creatorcontrib>Xu, LunShan</creatorcontrib><creatorcontrib>Xu, MinHui</creatorcontrib><creatorcontrib>Wang, Hao</creatorcontrib><title>Case Report of Late Type IIIb Endoleak with Willis Covered Stent (WCS) and Literature Review</title><title>World neurosurgery</title><addtitle>World Neurosurg</addtitle><description>We report a case of late type IIIb endoleak with Willis covered stent (WCS) developed 14 months after endovascular paraclinoid aneurysm repair.
A 52-year-old woman presented with episodic headache, caused by a giant paraclinoid aneurysm. She underwent a successful 3.5 x 16mm WCS positioning to treat the aneurysm. Fourteen months later, the patient was admitted with the same symptoms. Digital subtraction angiography examination showed recurrence of the aneurysm, which was similar to the preoperative one. DynaCT (Siemens, Erlangen, Germany) indicated the intact of the metal structure of the stent without migration. Type IIIb endoleak (defect in the graft fabric) was confirmed with a whole aneurysm neck located in the middle part of the stent. The type IIIb endoleak was treated with another WCS (4.0 x 16mm). The immediate digital subtraction angiography imaging indicated that the endoleak disappeared and the aneurysm was completely occluded. Re-examination done 1 year after the second treatment showed a complete exclusion of the aneurysm sac.
Type IIIb endoleaks can be safely treated by the endovascular positioning of another WCS. Continuous surveillance after endovascular paraclinoid aneurysm repair for intracranial aneurysms is warranted to make ensure the safety of WCS.</description><subject>Blood Vessel Prosthesis</subject><subject>Blood Vessel Prosthesis Implantation - methods</subject><subject>Endoleak - diagnosis</subject><subject>Endoleak - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Intracranial Aneurysm - surgery</subject><subject>Middle Aged</subject><subject>Neoplasm Recurrence, Local - diagnosis</subject><subject>Neoplasm Recurrence, Local - surgery</subject><subject>Stents - adverse effects</subject><issn>1878-8750</issn><issn>1878-8769</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE9PwkAUxDdGIwT5Ah7MHvFA3T9su3s0DSoJiYlguJhsdtvXWCwt7m4hfHtLQN5lXiYzc_ghdE9JRAmNn9bRvoY2YoSqiMSdJ65Qn8pEjmUSq-vLL0gPDb1fk-44nciE36Iep4xzxUQffaXGA_6AbeMCbgo8NwHw8rAFPJvNLJ7WeVOB-cH7MnzjVVlVpcdpswMHOV4EqAMerdLFIzZ1judlAGdC646DuxL2d-imMJWH4VkH6PNlukzfxvP311n6PB9nnPAwtlIyYVlBmMisKiZCFCaTqgAL1hLGk4lk1FLFcyEUlybLC0KYSmIpmFSU8wEanXa3rvltwQe9KX0GVWVqaFqvGZvEinBFky7KTtHMNd47KPTWlRvjDpoSfQSr1_oIVh_BahJ3nuhKD-f91m4gv1T-MfI_Bsly4w</recordid><startdate>201910</startdate><enddate>201910</enddate><creator>Zeng, Shi</creator><creator>Yang, Huajiang</creator><creator>Yang, Donghong</creator><creator>Xu, LunShan</creator><creator>Xu, MinHui</creator><creator>Wang, Hao</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8255-0900</orcidid></search><sort><creationdate>201910</creationdate><title>Case Report of Late Type IIIb Endoleak with Willis Covered Stent (WCS) and Literature Review</title><author>Zeng, Shi ; Yang, Huajiang ; Yang, Donghong ; Xu, LunShan ; Xu, MinHui ; Wang, Hao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c303t-b8825b2f025cb9f455fac89febebb02374821b193d55938acdf00297685289133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Blood Vessel Prosthesis</topic><topic>Blood Vessel Prosthesis Implantation - methods</topic><topic>Endoleak - diagnosis</topic><topic>Endoleak - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Intracranial Aneurysm - surgery</topic><topic>Middle Aged</topic><topic>Neoplasm Recurrence, Local - diagnosis</topic><topic>Neoplasm Recurrence, Local - surgery</topic><topic>Stents - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zeng, Shi</creatorcontrib><creatorcontrib>Yang, Huajiang</creatorcontrib><creatorcontrib>Yang, Donghong</creatorcontrib><creatorcontrib>Xu, LunShan</creatorcontrib><creatorcontrib>Xu, MinHui</creatorcontrib><creatorcontrib>Wang, Hao</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>World neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zeng, Shi</au><au>Yang, Huajiang</au><au>Yang, Donghong</au><au>Xu, LunShan</au><au>Xu, MinHui</au><au>Wang, Hao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Case Report of Late Type IIIb Endoleak with Willis Covered Stent (WCS) and Literature Review</atitle><jtitle>World neurosurgery</jtitle><addtitle>World Neurosurg</addtitle><date>2019-10</date><risdate>2019</risdate><volume>130</volume><spage>160</spage><epage>164</epage><pages>160-164</pages><issn>1878-8750</issn><eissn>1878-8769</eissn><abstract>We report a case of late type IIIb endoleak with Willis covered stent (WCS) developed 14 months after endovascular paraclinoid aneurysm repair.
A 52-year-old woman presented with episodic headache, caused by a giant paraclinoid aneurysm. She underwent a successful 3.5 x 16mm WCS positioning to treat the aneurysm. Fourteen months later, the patient was admitted with the same symptoms. Digital subtraction angiography examination showed recurrence of the aneurysm, which was similar to the preoperative one. DynaCT (Siemens, Erlangen, Germany) indicated the intact of the metal structure of the stent without migration. Type IIIb endoleak (defect in the graft fabric) was confirmed with a whole aneurysm neck located in the middle part of the stent. The type IIIb endoleak was treated with another WCS (4.0 x 16mm). The immediate digital subtraction angiography imaging indicated that the endoleak disappeared and the aneurysm was completely occluded. Re-examination done 1 year after the second treatment showed a complete exclusion of the aneurysm sac.
Type IIIb endoleaks can be safely treated by the endovascular positioning of another WCS. Continuous surveillance after endovascular paraclinoid aneurysm repair for intracranial aneurysms is warranted to make ensure the safety of WCS.</abstract><cop>United States</cop><pmid>31233925</pmid><doi>10.1016/j.wneu.2019.06.105</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0001-8255-0900</orcidid></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation - methods Endoleak - diagnosis Endoleak - surgery Female Humans Intracranial Aneurysm - surgery Middle Aged Neoplasm Recurrence, Local - diagnosis Neoplasm Recurrence, Local - surgery Stents - adverse effects |
| title | Case Report of Late Type IIIb Endoleak with Willis Covered Stent (WCS) and Literature Review |
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