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Effective treatment of type IIb endoleak via targeted translumbar embolization
After endovascular aneurysm repair, type II endoleaks are encountered frequently, and warrant intervention when associated with aneurysmal sac expansion. Thus, the contemporary vascular surgeon must be able to manage them. The presented case illustrates our approach to percutaneous translumbar selec...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9046119/ https://www.ncbi.nlm.nih.gov/pubmed/35493344 http://dx.doi.org/10.1016/j.jvscit.2022.03.002 |
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author | Steadman, Jessica A. Moynagh, Michael R. Oderich, Gustavo S. Mendes, Bernardo C. |
author_facet | Steadman, Jessica A. Moynagh, Michael R. Oderich, Gustavo S. Mendes, Bernardo C. |
author_sort | Steadman, Jessica A. |
collection | PubMed |
description | After endovascular aneurysm repair, type II endoleaks are encountered frequently, and warrant intervention when associated with aneurysmal sac expansion. Thus, the contemporary vascular surgeon must be able to manage them. The presented case illustrates our approach to percutaneous translumbar selective coil embolization of individual lumbar arteries feeding the type IIb endoleak. The use of specific imaging systems allows for needle track guidance to access the endoleak pocket. Treatment of the feeding vessels with detachable coils can be achieved with a direct route via the translumbar sheath. The benefits of this approach include avoidance of graft puncture, targeted therapy, and low puncture-related complications. |
format | Online Article Text |
id | pubmed-9046119 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-90461192022-04-29 Effective treatment of type IIb endoleak via targeted translumbar embolization Steadman, Jessica A. Moynagh, Michael R. Oderich, Gustavo S. Mendes, Bernardo C. J Vasc Surg Cases Innov Tech Case report After endovascular aneurysm repair, type II endoleaks are encountered frequently, and warrant intervention when associated with aneurysmal sac expansion. Thus, the contemporary vascular surgeon must be able to manage them. The presented case illustrates our approach to percutaneous translumbar selective coil embolization of individual lumbar arteries feeding the type IIb endoleak. The use of specific imaging systems allows for needle track guidance to access the endoleak pocket. Treatment of the feeding vessels with detachable coils can be achieved with a direct route via the translumbar sheath. The benefits of this approach include avoidance of graft puncture, targeted therapy, and low puncture-related complications. Elsevier 2022-03-11 /pmc/articles/PMC9046119/ /pubmed/35493344 http://dx.doi.org/10.1016/j.jvscit.2022.03.002 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case report Steadman, Jessica A. Moynagh, Michael R. Oderich, Gustavo S. Mendes, Bernardo C. Effective treatment of type IIb endoleak via targeted translumbar embolization |
title | Effective treatment of type IIb endoleak via targeted translumbar embolization |
title_full | Effective treatment of type IIb endoleak via targeted translumbar embolization |
title_fullStr | Effective treatment of type IIb endoleak via targeted translumbar embolization |
title_full_unstemmed | Effective treatment of type IIb endoleak via targeted translumbar embolization |
title_short | Effective treatment of type IIb endoleak via targeted translumbar embolization |
title_sort | effective treatment of type iib endoleak via targeted translumbar embolization |
topic | Case report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9046119/ https://www.ncbi.nlm.nih.gov/pubmed/35493344 http://dx.doi.org/10.1016/j.jvscit.2022.03.002 |
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