Endoluminal treatment of type IA endoleak with Onyx

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Presentation transcript:

Endoluminal treatment of type IA endoleak with Onyx Joseph L. Grisafi, MD, Guillaume Boiteau, MD, Elizabeth Detschelt, MD, Jonathan Potts, MD, Paul Kiproff, MD, Satish C. Muluk, MD Journal of Vascular Surgery Volume 52, Issue 5, Pages 1346-1349 (November 2010) DOI: 10.1016/j.jvs.2010.06.021 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 Decrease in aneurysm sac diameter after endovascular aneurysm repair. Journal of Vascular Surgery 2010 52, 1346-1349DOI: (10.1016/j.jvs.2010.06.021) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 A, Endoleak at time of initial endovascular aneurysm repair (EVAR). B, Palmaz stent eliminated the endoleak. C, Neck degeneration resulting in type IA endoleak 1 year after EVAR. D, Delivery of Onyx into nidus. The arrow identifies SOS guiding catheter buttressed against the interstices of Palmaz stent, providing support and a barrier to direct contact with Onyx. E, Resolution of a type IA endoleak after Onyx application. Journal of Vascular Surgery 2010 52, 1346-1349DOI: (10.1016/j.jvs.2010.06.021) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 3 Tantalum (inert metal) powder imparts radiopacity to Onyx and is responsible for the imaging artifact on the computed tomography image. Journal of Vascular Surgery 2010 52, 1346-1349DOI: (10.1016/j.jvs.2010.06.021) Copyright © 2010 Society for Vascular Surgery Terms and Conditions