Resolution of type 1a endoleak in infected endograft using antibiotics: A case report
Aortic endograft infections are associated with significant morbidity and mortality, and must be managed promptly. The definitive treatment is surgical explantation, however conservative approaches using percutaneous intervention have been shown to be successful in some cases. Notably, there is no d...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-10-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325006156 |
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| author | Lucas Mosienko, BSc, CiAP Surinder Dhaliwal, MD, FRCPC Randolph Guzman, MD, FRCSC Evelyn Lo, MD, FRCPC Gregory Harding, MD, FRCSC |
| author_facet | Lucas Mosienko, BSc, CiAP Surinder Dhaliwal, MD, FRCPC Randolph Guzman, MD, FRCSC Evelyn Lo, MD, FRCPC Gregory Harding, MD, FRCSC |
| author_sort | Lucas Mosienko, BSc, CiAP |
| collection | DOAJ |
| description | Aortic endograft infections are associated with significant morbidity and mortality, and must be managed promptly. The definitive treatment is surgical explantation, however conservative approaches using percutaneous intervention have been shown to be successful in some cases. Notably, there is no documented case of an infected EVAR and subsequent endoleak that was managed solely by antibiotics. We present a case of a 91 year old male with an infected endograft and subsequent type 1a endoleak. He was not a surgical candidate, and a conservative approach to management was taken. Remarkably, after prolonged antibiotic therapy, both the infection and the type 1a endoleak resolved. This case suggests treating the primary endograft infection in nonsurgical candidates may also lead to the resolution of associated endoleaks. Further research is needed to understand the potential of antibiotics alone in similar cases. |
| format | Article |
| id | doaj-art-6e8579119d974ae7b53471064ed206f1 |
| institution | DOAJ |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-6e8579119d974ae7b53471064ed206f12025-08-20T02:48:39ZengElsevierRadiology Case Reports1930-04332025-10-0120105137514110.1016/j.radcr.2025.06.070Resolution of type 1a endoleak in infected endograft using antibiotics: A case reportLucas Mosienko, BSc, CiAP0Surinder Dhaliwal, MD, FRCPC1Randolph Guzman, MD, FRCSC2Evelyn Lo, MD, FRCPC3Gregory Harding, MD, FRCSC4Max Rady College of Medicine, University of Manitoba, 727 McDermot Ave Winnipeg, Manitoba R3E 3P5, Canada; Corresponding author.Department of Radiology, University of Manitoba, 727 McDermot Ave Winnipeg, Manitoba R3E 3P5, CanadaDepartment of Surgery, Section of Vascular Surgery, University of Manitoba, 727 McDermot Ave Winnipeg, Manitoba R3E 3P5, CanadaDepartment of Internal Medicine, University of Manitoba, 727 McDermot Ave Winnipeg, Manitoba R3E 3P5, CanadaDepartment of Radiology, University of Manitoba, 727 McDermot Ave Winnipeg, Manitoba R3E 3P5, Canada; Department of Surgery, Section of Vascular Surgery, University of Manitoba, 727 McDermot Ave Winnipeg, Manitoba R3E 3P5, CanadaAortic endograft infections are associated with significant morbidity and mortality, and must be managed promptly. The definitive treatment is surgical explantation, however conservative approaches using percutaneous intervention have been shown to be successful in some cases. Notably, there is no documented case of an infected EVAR and subsequent endoleak that was managed solely by antibiotics. We present a case of a 91 year old male with an infected endograft and subsequent type 1a endoleak. He was not a surgical candidate, and a conservative approach to management was taken. Remarkably, after prolonged antibiotic therapy, both the infection and the type 1a endoleak resolved. This case suggests treating the primary endograft infection in nonsurgical candidates may also lead to the resolution of associated endoleaks. Further research is needed to understand the potential of antibiotics alone in similar cases.http://www.sciencedirect.com/science/article/pii/S1930043325006156Endograft infectionEVARComplication |
| spellingShingle | Lucas Mosienko, BSc, CiAP Surinder Dhaliwal, MD, FRCPC Randolph Guzman, MD, FRCSC Evelyn Lo, MD, FRCPC Gregory Harding, MD, FRCSC Resolution of type 1a endoleak in infected endograft using antibiotics: A case report Radiology Case Reports Endograft infection EVAR Complication |
| title | Resolution of type 1a endoleak in infected endograft using antibiotics: A case report |
| title_full | Resolution of type 1a endoleak in infected endograft using antibiotics: A case report |
| title_fullStr | Resolution of type 1a endoleak in infected endograft using antibiotics: A case report |
| title_full_unstemmed | Resolution of type 1a endoleak in infected endograft using antibiotics: A case report |
| title_short | Resolution of type 1a endoleak in infected endograft using antibiotics: A case report |
| title_sort | resolution of type 1a endoleak in infected endograft using antibiotics a case report |
| topic | Endograft infection EVAR Complication |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325006156 |
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