Effective treatment of type IIb endoleak via targeted translumbar embolization

After endovascular aneurysm repair, type II endoleaks are encountered frequently, and warrant intervention when associated with aneurysmal sac expansion. Thus, the contemporary vascular surgeon must be able to manage them. The presented case illustrates our approach to percutaneous translumbar selec...

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Bibliographic Details
Published inJournal of vascular surgery cases and innovative techniques Vol. 8; no. 2; pp. 232 - 236
Main Authors Steadman, Jessica A., Moynagh, Michael R., Oderich, Gustavo S., Mendes, Bernardo C.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.06.2022
Elsevier
Subjects
Abdominal aortic aneurysm
Case report
Endoleak
EVAR
EVAR
Endoleak
Abdominal aortic aneurysm
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Summary:After endovascular aneurysm repair, type II endoleaks are encountered frequently, and warrant intervention when associated with aneurysmal sac expansion. Thus, the contemporary vascular surgeon must be able to manage them. The presented case illustrates our approach to percutaneous translumbar selective coil embolization of individual lumbar arteries feeding the type IIb endoleak. The use of specific imaging systems allows for needle track guidance to access the endoleak pocket. Treatment of the feeding vessels with detachable coils can be achieved with a direct route via the translumbar sheath. The benefits of this approach include avoidance of graft puncture, targeted therapy, and low puncture-related complications.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2022.03.002