PMID: 15216873Jun 26, 2004Paper

Laparoscopic transperitoneal clipping of the inferior mesenteric artery for the management of type II endoleak after endovascular repair of an aneurysm

Surgical Endoscopy
P HoS W K Cheng

Abstract

We report the case of a high risk patient with an abdominal infrarenal aortic aneurysm (AAA) who was treated by endovascular technique and the subsequent management of a type II endoleak by the laparoscopic approach. In this case, a 74-year-old woman with a 6-cm infrarenal AAA underwent endovascular repair using a bifurcated stent-graft device. Surveillance CT scan showed a persistent type II endoleak at 1 week and 3 months after the operation. Angiography confirmed retrograde flow from the inferior mesenteric artery (IMA). Attempted transarterial embolization of the IMA via the superior mesenteric artery was not successful. Laparoscopic transperitoneal IMA clipping was performed. Subsequent aortic duplex scan and CT scan confirmed complete elimination of the type II endoleak. We conclude that a combination of endovascular and laparoscopic procedures can be used to manage AAA successfully.

Citations

Aug 19, 2009·Cardiovascular and Interventional Radiology·Terhi NevalaJukka Perälä
Oct 11, 2005·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Mario ZanchettaSalvatore Ronsivalle
Aug 1, 2006·Asian Journal of Surgery·Karen Ka Leung ChanMichael Ka Wah Li
Nov 10, 2013·Journal of Vascular Surgery·William Quinones-BaldrichAndrew Barleben
Feb 14, 2012·Journal of Vascular Surgery·Kimberly EvansWilliam C Pevec
May 9, 2007·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Mario ZanchettaSalvatore Ronsivalle

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