A Case of Successful Coil Embolization for a Late-Onset Type Ia Endoleak after Endovascular Aneurysm Repair with the Chimney Technique

Juxtarenal aortic aneurysms (JRAAs) are challenging to treat by endovascular aneurysm repair (EVAR) procedures. The chimney technique with EVAR (Ch-EVAR) is one of the feasible and less invasive treatments for JRAAs. However, the main concern of Ch-EVAR is the potential risk of “gutters,” which can...

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Autores principales: Igari, Kimihiro, Kudo, Toshifumi, Toyofuku, Takahiro, Inoue, Yoshinori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5028801/
https://www.ncbi.nlm.nih.gov/pubmed/27699077
http://dx.doi.org/10.1155/2016/5307416
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author Igari, Kimihiro
Kudo, Toshifumi
Toyofuku, Takahiro
Inoue, Yoshinori
author_facet Igari, Kimihiro
Kudo, Toshifumi
Toyofuku, Takahiro
Inoue, Yoshinori
author_sort Igari, Kimihiro
collection PubMed
description Juxtarenal aortic aneurysms (JRAAs) are challenging to treat by endovascular aneurysm repair (EVAR) procedures. The chimney technique with EVAR (Ch-EVAR) is one of the feasible and less invasive treatments for JRAAs. However, the main concern of Ch-EVAR is the potential risk of “gutters,” which can lead to type Ia endoleak (EL). Most type Ia ELs after Ch-EVAR procedures occurred intraoperatively, and these ELs could be treated using an endovascular technique. However, late-onset type Ia ELs could be extremely rare, which might have a fear of conservative treatment. Type Ia ELs are associated with an increased risk of aneurysm rupture; therefore reintervention is recommended as soon as possible, and we should be aware of the occurrence of type Ia ELs after the Ch-EVAR procedure.
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spelling pubmed-50288012016-10-03 A Case of Successful Coil Embolization for a Late-Onset Type Ia Endoleak after Endovascular Aneurysm Repair with the Chimney Technique Igari, Kimihiro Kudo, Toshifumi Toyofuku, Takahiro Inoue, Yoshinori Case Rep Vasc Med Case Report Juxtarenal aortic aneurysms (JRAAs) are challenging to treat by endovascular aneurysm repair (EVAR) procedures. The chimney technique with EVAR (Ch-EVAR) is one of the feasible and less invasive treatments for JRAAs. However, the main concern of Ch-EVAR is the potential risk of “gutters,” which can lead to type Ia endoleak (EL). Most type Ia ELs after Ch-EVAR procedures occurred intraoperatively, and these ELs could be treated using an endovascular technique. However, late-onset type Ia ELs could be extremely rare, which might have a fear of conservative treatment. Type Ia ELs are associated with an increased risk of aneurysm rupture; therefore reintervention is recommended as soon as possible, and we should be aware of the occurrence of type Ia ELs after the Ch-EVAR procedure. Hindawi Publishing Corporation 2016 2016-09-06 /pmc/articles/PMC5028801/ /pubmed/27699077 http://dx.doi.org/10.1155/2016/5307416 Text en Copyright © 2016 Kimihiro Igari et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Igari, Kimihiro
Kudo, Toshifumi
Toyofuku, Takahiro
Inoue, Yoshinori
A Case of Successful Coil Embolization for a Late-Onset Type Ia Endoleak after Endovascular Aneurysm Repair with the Chimney Technique
title A Case of Successful Coil Embolization for a Late-Onset Type Ia Endoleak after Endovascular Aneurysm Repair with the Chimney Technique
title_full A Case of Successful Coil Embolization for a Late-Onset Type Ia Endoleak after Endovascular Aneurysm Repair with the Chimney Technique
title_fullStr A Case of Successful Coil Embolization for a Late-Onset Type Ia Endoleak after Endovascular Aneurysm Repair with the Chimney Technique
title_full_unstemmed A Case of Successful Coil Embolization for a Late-Onset Type Ia Endoleak after Endovascular Aneurysm Repair with the Chimney Technique
title_short A Case of Successful Coil Embolization for a Late-Onset Type Ia Endoleak after Endovascular Aneurysm Repair with the Chimney Technique
title_sort case of successful coil embolization for a late-onset type ia endoleak after endovascular aneurysm repair with the chimney technique
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5028801/
https://www.ncbi.nlm.nih.gov/pubmed/27699077
http://dx.doi.org/10.1155/2016/5307416
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