Commentary: new problems, new solutions: novel methods to treat a secondary type I endoleak in a fenestrated stent-graft.

摘要

Creativity is and always will be an essential requirement for the modern vascular surgeon. New technologies bring new problems to which one must find new solutions. In their article, d'Utra and colleagues1 from the Uni-versite Lille describe an interesting case of a type I endoleak after a fenestrated device was used for a short-necked aortic aneurysm. A proximal endoleak in a fenestrated stent-graft can be very difficult to treat without compromising the fenestrations, especially the lower one. The authors first tried a chimney technique, which proved of no value in this case, and then they were successful with an Amplatzar PFO (Patent Foramen Ovale) oc-cluder.