{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:52:53Z","timestamp":1768434773503,"version":"3.49.0"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2014,8,12]],"date-time":"2014-08-12T00:00:00Z","timestamp":1407801600000},"content-version":"vor","delay-in-days":223,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2014,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n INTRODUCTION:<\/jats:title>\n Type 1 endoleak is a rare complication after endovascular abdominal aortic aneurysm repair (EVAR) with a reported frequency up to 2.88%. It is a major risk factor for aneurysmal enlargement and rupture.<\/jats:p>\n <\/jats:sec>\n \n PRESENTATION OF CASE:<\/jats:title>\n We present a case of a 68 year old gentleman who was found to have a proximal type 1 endoleak with loss of graft wall apposition on routine surveillance imaging post-EVAR. An initial attempt at endovascular repair was unsuccessful. Given the patient's multiple medical co-morbidities, which precluded the possibility of conventional graft explantation and open repair, we performed a novel surgical technique which did not require aortic cross-clamping. A double-layered Dacron wrap was secured around the infra-renal aorta with Prolene sutures, effectively hoisting the posterior bulge to allow wall to graft apposition and excluding the endoleak. Post-operative CT angiogram showed resolution of the endoleak and a stable sac size.<\/jats:p>\n <\/jats:sec>\n \n DISCUSSION:<\/jats:title>\n Several anatomical factors need to be considered when this technique is proposed including aortic neck angulation, position of lumbar arteries and peri-aortic venous anatomy. While an external wrap technique has been investigated sporadically for vascular aneurysms, to our knowledge there is only one similar case in the literature.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSION:<\/jats:title>\n Provided certain anatomical features are present, an external aortic wrap is a useful and successful option to manage type 1 endoleak in high-risk patients who are unsuitable for aortic clamping.<\/jats:p>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2014.08.008","type":"journal-article","created":{"date-parts":[[2014,8,26]],"date-time":"2014-08-26T17:24:03Z","timestamp":1409073843000},"page":"739-742","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["External aortic wrap for repair of type 1 endoleak"],"prefix":"10.1097","volume":"5","author":[{"given":"Anastasia","family":"Dean","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Swee Leong","family":"Yap","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Venu","family":"Bhamidipaty","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franklin","family":"Pond","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-26-20260114","doi-asserted-by":"crossref","first-page":"1348","DOI":"10.1016\/j.jvs.2010.01.078","article-title":"Paradigm shifts in the treatment of abdominal aortic aneurysm: trends in 721 patients between 1996 and 2008","volume":"51","author":"Albuquerque","year":"2010","journal-title":"J Vasc Surg"},{"key":"R2-26-20260114","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1067\/mva.2002.118823","article-title":"Significance of endoleaks after endovascular repair of abdominal aortic aneurysms: the EUROSTAR experience","volume":"35","author":"van Marrewijk","year":"2002","journal-title":"J Vasc Surg"},{"key":"R3-26-20260114","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1007\/S10016-006-9097-9","article-title":"Aortic wrap as a novel technique of type I endoleak repair","volume":"20","author":"Younis","year":"2006","journal-title":"Ann Vasc Surg"},{"key":"R4-26-20260114","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1016\/j.jvs.2005.02.022","article-title":"Laparoscopic aortic reinforcement and endovascular graft replacement in swine: a new external wrap","volume":"41","author":"Kudo","year":"2005","journal-title":"J Vasc Surg"},{"key":"R5-26-20260114","first-page":"890","article-title":"Cellophane wrapping of an abdominal aortic aneurysm","volume":"29","author":"Middleman","year":"1951","journal-title":"Surgery"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261214001898?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261214001898?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201405100-00026","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:15:10Z","timestamp":1768396510000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201405100-00026"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,1]]},"references-count":5,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2014]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2014.08.008","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2014,1]]}}}