Recanalization of previously thrombosed type II endoleak with aneurysm sac expansion after systemic thrombolysis

Marcos Takuya Kuroki, Katelynn Ferranti, Faisal Aziz, John Radtka

Research output: Contribution to journalArticle


Patients who have undergone endovascular aneurysm repair (EVAR) need lifelong monitoring because of the risk of aneurysm rupture secondary to delayed endoleaks. Thrombolytic therapy may expose patients with previous EVAR to the risk for development of new endoleaks. We describe a case in which a single dose of intravenous tissue plasminogen activator for acute ischemic stroke was complicated by aneurysm sac expansion secondary to a recurrent endoleak. The potential for a life-threatening complication may warrant routine imaging evaluation of the stent graft after systemic tissue plasminogen activator therapy for acute ischemic stroke in patients with previous EVAR.

Original languageEnglish (US)
Pages (from-to)262-264
Number of pages3
JournalJournal of Vascular Surgery Cases and Innovative Techniques
Issue number3
Publication statusPublished - Sep 2018


All Science Journal Classification (ASJC) codes

  • Surgery
  • Cardiology and Cardiovascular Medicine

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