Complicated embolisation of late endoleak via direct sac puncture: not all endoleaks are a type II endoleak.

CVIR Endovascular
Aizat DrahmanArvind Deshpande

Abstract

Endoleaks after endovascular aortic aneurysm repair (EVAR) occur frequently with type 2 being the most common. Treatment of type 2 endoleaks is indicated if the aneurysmal sac increases in size. In this case report, we will discuss a patient who presented with aneurysmal sac size increase 11 years after undergoing EVAR for an asymptomatic abdominal aortic aneurysm which extended into the iliac arteries. Multi-phase CT demonstrated an endoleak with features commonly seen in type 2 endoleaks; pooling of contrast near a lumbar artery orifice on the angiographic phase which increases during the delayed phase. Both internal iliac arteries were sacrificed during the initial EVAR. Percutaneous direct sac puncture was therefor performed and angiogram during the procedure revealed no feeding or draining lumbar arteries. During attempts to embolize the perfused part of the aneurysmal sac non-target embolization into the main body of the graft occurred and the presence of type 3b endoleak was confirmed. The non-target embolization did not result in permanent sequelae. Type 3b endoleaks are rare and can mimic type 2 endoleaks, which can cause serious complications if not identified properly. Rapid increase in aneurysmal sac size is uncommo...Continue Reading

References

May 22, 2002·Journal of Vascular Surgery·Frank J VeithChristopher K Zarins
May 22, 2002·Journal of Vascular Surgery·Elliot L ChaikofUNKNOWN Ad Hoc Committee for Standardized Reporting Practices in Vascular Surgery of The Society for Vascular Surgery/American Assoc
May 20, 2008·Journal of Vascular Surgery·Roy K GreenbergNeal E Fearnot
Sep 17, 2010·Journal of Vascular Surgery·Issam AbouliatimJean-Pierre Becquemin
May 21, 2013·Journal of Vascular Surgery·Robert W ChangBradley Hill
Jan 1, 2014·Journal of Vascular Surgery·Eric J TurneyDaniel G Clair
Mar 5, 2014·Journal of Vascular Surgery·Rami O TadrosMichael L Marin

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