CASE PRESNTATION IN A VASCULAR MEETING ABOUT CHALENGING BLEEDING EMBOLIZATION

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This case presentation details a 50-year-old man with a history of smoking and end-stage renal disease who experienced an initial rupture of a 7.5 x 9.5 cm infrarenal AAA, treated with emergency EVAR. Despite successful exclusion, a type 2 endoleak persisted. Upon delayed re-presentation, he faced recurrent rupture and required IMA embolization due to sac enlargement. The case highlights the progression to a type 1A endoleak, necessitating treatment with an aortic cuff and SMA chimney,...