6533b855fe1ef96bd12b1474
RESEARCH PRODUCT
Transgraft sac Embolization Combined with Graft Reinforcement for Refractory Mixed-Type Endoleak.
Kodai FukudaNobuyuki HigashinoMotoki NakaiAkira IkomaRomaric LoffroyTetsuo SonomuraAtsufumi KamisakoMarco MidullaPramod Raosubject
MaleReoperationmedicine.medical_specialtyTransgraft sac embolizationPercutaneousEndoleakmedicine.medical_treatmentMixed typeAortographyGraft reinforcement030218 nuclear medicine & medical imaginglaw.invention03 medical and health sciencesBlood Vessel Prosthesis Implantation0302 clinical medicine[SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular systemRefractoryMixed-type endoleaklawn-butyl cyanoacrylatemedicineHumansEVARRadiology Nuclear Medicine and imagingEmbolizationAged[SDV.IB] Life Sciences [q-bio]/BioengineeringAged 80 and overmedicine.diagnostic_testbusiness.industryN-butyl-cyanoacrylateEndovascular ProceduresEnbucrilateCombined Modality TherapyEmbolization Therapeutic[SDV.MHEP.CSC] Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular systemSurgeryTreatment OutcomeCyanoacrylateAngiography[SDV.IB]Life Sciences [q-bio]/BioengineeringFemaleStentsCardiology and Cardiovascular MedicinebusinessTomography X-Ray ComputedAortic Aneurysm Abdominaldescription
International audience; 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.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2018-12-11 | Cardiovascular and interventional radiology |