A Direct Approach for the Correction of Persistent Endoleak: a Technical Report

Endovascular repair of infrarenal abdominal aortic aneurysms is becoming more widespread, with the use of a variety of different devices. They all share a subsequent risk of endoleak, which averages 25%. Type I leaks and type II leaks with increasing sac size should ideally be treated endovascularly...

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Bibliographic Details
Published inEuropean journal of vascular and endovascular surgery extra Vol. 3; no. 3; pp. 54 - 59
Main Authors Banks, R.J., Ashour, H., Mudawi, A., Uberoi, R.
Format Journal Article
LanguageEnglish
Published Elsevier Ltd 01.03.2002
Subjects
Emborisation
Endoleak
Endovascular aneurysm repair
Thrombic injection
Endovascular aneurysm repair
Thrombic injection
Endoleak
Emborisation
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Summary:Endovascular repair of infrarenal abdominal aortic aneurysms is becoming more widespread, with the use of a variety of different devices. They all share a subsequent risk of endoleak, which averages 25%. Type I leaks and type II leaks with increasing sac size should ideally be treated endovascularly. Embolisation through collaterals into the sac is not always achievable. We describe a case of a type II endoleak where a direct puncture of the endoleak cavity was carried out under fluoroscopy, with subsequent embolisation using Spongistan and thrombin glue to occlude the leak.
ISSN:1533-3167
1533-3167
DOI:10.1053/ejvx.2002.0139