Fenestrated stent-graft as an option for the treatment of type I endoleak in a patient with giant abdominal aortic aneurysm

Endovascular aortic repair has advanced significantly over the last decades, but type IA endoleaks are still formidable complications requiring immediate intervention due to high risk of rupture. We present successful endovascular treatment of type IA endoleak in a patient with giant abdominal aortic aneurysm. A modified fenestrated stent graft was implanted. This technique was effective in complex vascular anatomy. Modified fenestrated stent grafts can be an effective alternative for the treatment of delayed type IA endoleaks. However, such interventions should be performed in specialized hospitals with subsequent careful follow-up to ensure efficacy and safety.