Perigraft Plug Embolization of the Internal Iliac Artery and Implantation of a Bifurcated Stentgraft: One Treatment Option for Insufficient Tubular Stentgraft Repair of a Common Iliac Artery Aneurysm

Journal Article · Mon Feb 15 04:00:00 EST 2016 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-015-1161-9· OSTI ID:22469607

Loesaus, Julia; Frydrychowicz, Alex; Barkhausen, Jörg ^[1]; Wiedner, Marcus ^[2]

---

1. University Hospital of Schleswig-Holstein, Department for Radiology and Nuclear Medicine (Germany)
2. University Hospital of Schleswig-Holstein, Clinic for Surgery (Germany)

We report an endovascular technique for the treatment of type Ia endoleak after a plain tubular stentgraft had been implanted for a large common iliac artery aneurysm with an insufficient proximal landing zone and without occlusion of the hypogastric in another hospital. CT follow-up showed an endoleak with continuous sac expansion over 12 months. This was classified as type Ia by means of dynamic contrast-enhanced MRI. Before a bifurcated stentgraft was implanted to relocate the landing zone more proximally, the still perfused ipsilateral hypogastric artery was embolized to prevent a type II endoleak. A guidewire was manipulated alongside the indwelling stentgraft. The internal iliac artery could then be selectively intubated followed by successful plug embolization of the vessel’s orifice despite the stentgraft being in place.

• OSTI ID: 22469607
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 2 Vol. 39; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
COMPUTERIZED TOMOGRAPHY
HOSPITALS
NMR IMAGING
VASCULAR DISEASES