Transretroperitoneal CT-guided Embolization of Growing Internal Iliac Artery Aneurysm after Repair of Abdominal Aortic Aneurysm: A Transretroperitoneal Approach with Intramuscular Lidocaine Injection Technique

Journal Article · Sun Feb 15 00:00:00 EST 2015 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-014-0848-7· OSTI ID:22470119

Park, Joon Young, E-mail: [e-mail]; Kim, Shin Jung, E-mail: [e-mail]; Kim, Hyoung Ook, E-mail: [e-mail] ^[1]; Kim, Yong Tae, E-mail: [e-mail] ^[2]; Lim, Nam Yeol, E-mail: [e-mail]; Kim, Jae Kyu, E-mail: [e-mail] ^[1]; Chung, Sang Young, E-mail: [e-mail]; Choi, Soo Jin Na, E-mail: [e-mail]; Lee, Ho Kyun, E-mail: [e-mail] ^[3]

---

1. Chonnam National University Hospital, Department of Radiology (Korea, Republic of)
2. Chonnam National University Hwasun Hospital, Department of Radiology (Korea, Republic of)
3. Chonnam National University Hospital, Department of Surgery (Korea, Republic of)

This study was designed to evaluate the efficacy and safety of CT-guided embolization of internal iliac artery aneurysm (IIAA) after repair of abdominal aortic aneurysm by transretroperitoneal approach using the lidocaine injection technique to iliacus muscle, making window for safe needle path for three patients for whom CT-guided embolization of IIAA was performed by transretroperitoneal approach with intramuscular lidocaine injection technique. Transretroperitoneal access to the IIAA was successful in all three patients. In all three patients, the IIAA was first embolized using microcoils. The aneurysmal sac was then embolized with glue and coils without complication. With a mean follow-up of 7 months, the volume of the IIAAs remained stable without residual endoleaks. Transretroperitoneal CT-guided embolization of IIAA using intramuscular lidocaine injection technique is effective, safe, and results in good outcome.

• OSTI ID: 22470119
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 38, Issue 1; Conference: IROS 2015: Interventional Radiological Olbert Symposium, Berlin (Germany), 15-17 Jan 2015; Other Information: Copyright (c) 2015 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
COMPUTERIZED TOMOGRAPHY
INJECTION
MUSCLES
PATIENTS
REPAIR
SAFETY
VASCULAR DISEASES