Transgraft sac Embolization Combined with Graft Reinforcement for Refractory Mixed-Type Endoleak

Journal Article · Mon Apr 15 04:00:00 EDT 2019 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-018-2144-4· OSTI ID:22953106

Nakai, Motoki; Ikoma, Akira ^[1]; Loffroy, Romaric; Midulla, Marco; Rao, Pramod ^[2]; Kamisako, Atsufumi; Higashino, Nobuyuki; Fukuda, Kodai; Sonomura, Tetsuo ^[1]

---

1. Wakayama Medical University, Department of Radiology (Japan)
2. University of Bourgogne, Department of Vascular and Interventional Radiology, François-Mitterrand Teaching Hospital (France)

An 80-year-old female underwent EVAR 4 years ago. She presented type II endoleak with sac expansion from 68 to 80 mm during 3-year follow-up after EVAR. Although she underwent translumbar percutaneous sac embolization, the AAA sac continued to enlarge, suggesting mixed-type endoleak including type I, II, and III. Transgraft direct sac angiography revealed endoleak cavity without demonstrable feeding vessel. Transgraft sac embolization using n-butyl cyanoacrylate and graft reinforcement was performed concurrently, without complications. The graft reinforcement consisted of graft extension for eliminating occult type I endoleak, and relining for eliminating occult type III endoleak. Six months after the procedure, CT showed no signs of sac expansion. Transgraft sac embolization combined with graft reinforcement is one of the available options for persistent and refractory mixed-type endoleak.

• OSTI ID: 22953106
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 4 Vol. 42; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ABDOMEN
AORTA
BIOMEDICAL RADIOGRAPHY
COMPUTERIZED TOMOGRAPHY
ELDERLY PEOPLE
HEART FAILURE
HYPERTENSION
KIDNEYS
LIPIODOL
PATIENTS
SURGERY
WOMEN