Endotension after endovascular treatment of abdominal aortic aneurysm: Percutaneous treatment Marie Cerna, MD, PhD, Martin Köcher, MD, PhD, Petr Utikal,

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Endotension after endovascular treatment of abdominal aortic aneurysm: Percutaneous treatment Marie Cerna, MD, PhD, Martin Köcher, MD, PhD, Petr Utikal, MD, PhD, Petr Bachleda, MD, PhD Journal of Vascular Surgery Volume 50, Issue 3, Pages 648-651 (September 2009) DOI: 10.1016/j.jvs.2009.04.044 Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 1 Ella stent graft. Journal of Vascular Surgery 2009 50, 648-651DOI: (10.1016/j.jvs.2009.04.044) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 2 A 70-year-old man was indicated for treatment of abdominal aortic aneurysm (AAA) by bifurcated Ella stent graft in November 2001. Original size of aneurysm was 65 × 78 mm. Five years after treatment endotension was diagnosed and the patient was indicated for percutaneous translumbar puncture of the aneurysm sac with aspiration of its content. A, Follow-up computed tomography (CT) scan 4 years after treatment showing stable size of aneurysm sac 64 × 79 mm. B, Follow-up CT scan 5 years after treatment with sac enlargement to 88 × 101 mm, it means increase in size more then 20 mm per year. C, D, Percutaneous translumbar puncture of sac under fluoroscopy in two projections. Approximately 140 mL of transudate was aspirated. E, Follow-up CT scan 6 years after stent graft implantation and 1 year after sac puncture. Sac enlargement was stopped and aneurysm sac is decreased to 59 × 68 mm. Journal of Vascular Surgery 2009 50, 648-651DOI: (10.1016/j.jvs.2009.04.044) Copyright © 2009 Society for Vascular Surgery Terms and Conditions