Management of acute limb ischemia after glue embolization of endoleak following endovascular abdominal aortic aneurysm repair Maged M. Metias, MSc, Ahmed.

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Management of acute limb ischemia after glue embolization of endoleak following endovascular abdominal aortic aneurysm repair Maged M. Metias, MSc, Ahmed Kayssi, MD, MSc, MPH, Thomas F. Lindsay, MDCM, MSc, Dheeraj K. Rajan, MD Journal of Vascular Surgery Cases Volume 1, Issue 3, Pages 217-220 (September 2015) DOI: 10.1016/j.jvsc.2015.07.004 Copyright © 2015 The Authors Terms and Conditions

Fig 1 Type II endoleak (arrow) seen posterior to iliac limbs. Journal of Vascular Surgery Cases 2015 1, 217-220DOI: (10.1016/j.jvsc.2015.07.004) Copyright © 2015 The Authors Terms and Conditions

Fig 2 Injection of sac demonstrates type II endoleak with filling lumbar artery (arrow). No evidence of type Ia endoleak. Journal of Vascular Surgery Cases 2015 1, 217-220DOI: (10.1016/j.jvsc.2015.07.004) Copyright © 2015 The Authors Terms and Conditions

Fig 3 A, n-Butyl-2-cyanoacrylate (n-BCA) glue “clump” seen in the right iliac limb. B, Embolus seen lodged in the popliteal artery (arrow), tibioperoneal trunk (white arrowhead), and anterior tibial artery (black arrowhead). C, Adhesive glue seen in sac with glue cast extending up beside the stent at the site of expulsion. D, Adhesive fragments retrieved during an embolectomy procedure from the anterior tibial artery, tibioperoneal trunk, and popliteal artery. Journal of Vascular Surgery Cases 2015 1, 217-220DOI: (10.1016/j.jvsc.2015.07.004) Copyright © 2015 The Authors Terms and Conditions