D Dimers can be Useful in EVAR Follow Up

Copyright: © 2015 Ramanathan AK, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Introduction: D Dimer has been shown to be elevated in abdominal aortic aneurysms (untreated). Report: An 80 year old man presented with left calf swelling. During the investigations to exclude deep vein thrombosis a very high level of D Dimer was noted. This prompted evaluation of his previous endovascular aneurysm repair (EVAR) graft when the duplex scan of the left lower extremity was normal. A large Type II endoleak was found. A further two patients with endoleaks had elevated D Dimers. In one of them the D Dimer level came