Endovascular Treatment of Late “Endoleak” Following Open Surgical Repair Using Bypass and Exclusion Aneurysm Repair

Open AAA repair using the exclusion and bypass technique is associated with the risk of persistent perfusion or reperfusion of the aneurysm sac, which is similar to an endoleak after endovascular aortic aneurysm exclusion. Endovascular therapy should be considered as first-choice treatment when feasible.