Persisting Iliaco-Caval Fistula After EVAR Maintained by a Type II Endoleak
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Jeuriens-van de Ven, S.A.
Schouten van der Velden, A.P.
Schultze Kool, L.J. Leo
Vliet, J.A. Daan
Berger, P.
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Abstract
We present the case of a patient with a persisting type II endoleak after endovascular repair of an iliac aneurysm with an iliaco-caval fistula. We describe the pathophysiological mechanism behind this phenomenon and discuss why conservative treatment is unlikely to seal this type of endoleak. A more aggressive treatment strategy is therefore advocated.