Treatment of typeIendoleak after endovascular aneurysm repair for abdominal aortic aneurysms: a report of 3 cases

Objective To discuss experiences of open repair(OR) for the patients after endovascular aneurysm repair(EVAR) because of endoleak, rupture and thromboembolism. Methods Clinical data of 3abdominal aortic aneurysm(AAA)patients after EVAR,undergoing OR,from 2013 to 2014 were retrospectively analyzed. All of 3 cases received fluid therapy throughout the process of AAA excision, graft removal and artificial blood vessel replacement, as well as postoperative supportive treatment. Results Of 3 cases, 2cases recovered and 1 case died 48 hours after surgery. Conclusions For the patients after EVAR who is hospitalized again because of endoleak, rupture and thromboembolism, though EVAR brings less surgical trauma, shorter hospital stay, traditional OR should be taken in certain conditions for better rescue.