Peter L Faries, MD, Hadley Cadot, MD, Gautam Agarwal, MD, K

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Presentation transcript:

Management of endoleak after endovascular aneurysm repair: cuffs, coils, and conversion Peter L Faries, MD, Hadley Cadot, MD, Gautam Agarwal, MD, K.Craig Kent, MD, Larry H Hollier, MD, Michael L Marin, MD Journal of Vascular Surgery Volume 37, Issue 6, Pages 1155-1161 (June 2003) DOI: 10.1016/S0741-5214(03)00084-3

Fig 1 Digital subtraction angiogram of proximal attachment site endoleak treatment. A, On lateral projection, extensive proximal attachment site endoleak is seen originating along the posterior aortic wall (arrow). B, Selective interrogation confirms location from which the endoleak originates. C, After deployment, extension cuff (arrow) is visualized proximal to the original stent graft. D, Completion angiogram confirms elimination of perfusion of the aneurysm with deployment of the proximal extension graft. Marker on the extension cuff (arrow) indicates that the proximal extent of the graft material has been positioned immediately distal to the renal arteries. Journal of Vascular Surgery 2003 37, 1155-1161DOI: (10.1016/S0741-5214(03)00084-3)

Fig 2 Digital subtraction angiogram of collateral branch endoleak treatment. A, Flush aortogram demonstrates that the type II endoleak originates from collateral communication between the circumflex iliac and lumbar arteries (arrow). B, Selective injection of the lumbar artery demonstrates contrast material collecting in the aneurysm sac (arrow), confirming location of the endoleak. C, Cessation of aneurysm perfusion is seen after deployment of embolic coils (arrow) at site of origin of the lumbar artery from the aneurysm sac. Journal of Vascular Surgery 2003 37, 1155-1161DOI: (10.1016/S0741-5214(03)00084-3)