Presentation is loading. Please wait.

Presentation is loading. Please wait.

Treatment of type 2 endoleaks after endovascular repair of abdominal aortic aneurysms: Comparison of transarterial and translumbar techniques  Richard.

Published by혜인 시 Modified over 5 years ago

Similar presentations

Presentation on theme: "Treatment of type 2 endoleaks after endovascular repair of abdominal aortic aneurysms: Comparison of transarterial and translumbar techniques  Richard."— Presentation transcript:

1 Treatment of type 2 endoleaks after endovascular repair of abdominal aortic aneurysms: Comparison of transarterial and translumbar techniques  Richard A. Baum, MD, Jeffrey P. Carpenter, MD, Michael A. Golden, MD, Omaida C. Velazquez, MD, Timothy W.I. Clark, MD, S.William Stavropoulous, MD, Constantine Cope, MD, Ronald M. Fairman, MD  Journal of Vascular Surgery  Volume 35, Issue 1, Pages (January 2002) DOI: /mva Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

2 Fig. 1 Inferior mesenteric artery (IMA) embolization failure. A, Brisk retrograde flow through IMA and into aneurysm sac results in large type 2 endoleak (arrows) in patient with bifurcated Talent graft (Medtronics Corporation, Minneapolis, Minn). Endoleak angiography was performed through microcatheter positioned in distal IMA. Coil embolization of proximal IMA was then performed until stasis. Endoleak was resolved on computed tomographic scan results 30 days after embolization. B, Computed tomographic scan results 6 months after embolization show recanalization of endoleak (arrows; C, embolization coils). C, IMA remains occluded on repeat endoleak angiographic scan results, which suggests additional vessels have been recruited as endoleak inflow. Endoleak embolization treatment results: method and results of type 2 embolization techniques are shown Journal of Vascular Surgery  , 23-29DOI: ( /mva ) Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

3 Fig. 2 Inferior mesenteric artery (IMA) embolization failure followed by successful translumbar endoleak embolization. A, Transarterial endoleak angiography performed through microcatheter (arrow) positioned in IMA in this patient with bifurcated Talent graft (Medtronics Corporation, Minneapolis, Minn). Retrograde IMA flow and filling of large collateral endoleak (E) is shown. Dominant lumbar artery (L) is seen draining endoleak with faint opacification of second lumbar artery (*). IMA was embolized to stasis. B, Computed tomographic scan results 4 months after IMA embolization (arrow) show recanalization of endoleak (E). C, Direct translumbar angiography then was performed, and results showed continued coil occlusion of IMA (I). Endoleak, however, had changed shape and had recruited an additional lumbar artery (L). This vessel in retrospect was seen on initial arterial study (A) before IMA embolization (*). Endoleak then was coil embolized. D, Computed tomography angiographic scan results 6 months after translumbar artery embolization show complete resolution of endoleak with shrinkage of aneurysm sac. Coils are seen in region of prior endoleak and IMA. Journal of Vascular Surgery  , 23-29DOI: ( /mva ) Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

4 Fig. 3 Approach to endoleak management. A, Diagnostic transarterial endoleak angiography is performed to characterize endoleak seen on computed tomography angiographic scan results in this patient with bifurcated AneuRx graft (Medtronics Corporation, Minneapolis, Minn). There was late retrograde filling of lumbar artery (arrow) into aneurysm sac, which resulted in type 2 endoleak (E). Feeding lumbar was not embolized because this would not have provided long-term thrombosis of endoleak. B, Patient was returned for translumbar endoleak embolization to thrombose endoleak cavity. Direct endoleak angiographic scan results show endoleak (E) in greater detail. Not only is the same lumbar artery identified that was seen on transarterial study (arrow), but many additional vessels are identified that contribute to endoleak. Endoleak nidus then was coil embolized. Journal of Vascular Surgery  , 23-29DOI: ( /mva ) Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Download ppt "Treatment of type 2 endoleaks after endovascular repair of abdominal aortic aneurysms: Comparison of transarterial and translumbar techniques  Richard."

Similar presentations

Endoleak after aortic stent graft repair: Diagnosis by color duplex ultrasound scan versus computed tomography scan  Dean T. Sato, MD, RVT, Charles D.

Endoleak after aortic stent graft repair: Diagnosis by color duplex ultrasound scan versus computed tomography scan  Dean T. Sato, MD, RVT, Charles D.
Periprosthetic leak and rupture after endovascular repair of abdominal aortic aneurysm: The significance of device design for long-term results  Kirsten.

Periprosthetic leak and rupture after endovascular repair of abdominal aortic aneurysm: The significance of device design for long-term results  Kirsten.
Endovascular treatment of renal artery aneurysms and renal arteriovenous fistulas  Zhongming Zhang, MD, Min Yang, MD, Li Song, MD, Xiaoqiang Tong, MD,

Endovascular treatment of renal artery aneurysms and renal arteriovenous fistulas  Zhongming Zhang, MD, Min Yang, MD, Li Song, MD, Xiaoqiang Tong, MD,
The role of magnetic resonance angiography for endoprosthetic design

The role of magnetic resonance angiography for endoprosthetic design
Staged endovascular repair of an abdominal aortic aneurysm adjacent to a chronic high- flow iliocaval traumatic arteriovenous fistula  S. Keisin Wang,

Staged endovascular repair of an abdominal aortic aneurysm adjacent to a chronic high- flow iliocaval traumatic arteriovenous fistula  S. Keisin Wang,
Type II endoleaks Journal of Vascular Surgery

Type II endoleaks Journal of Vascular Surgery
Type II endoleak after endovascular abdominal aortic aneurysm repair: a conservative approach with selective intervention is safe and cost-effective 

Type II endoleak after endovascular abdominal aortic aneurysm repair: a conservative approach with selective intervention is safe and cost-effective 
Direct insertion of Amplatzer plugs to control lumbar arteries during open repair of type II endoleaks  Kimberly Evans, MD, Anne C. Kim, MD, William C.

Direct insertion of Amplatzer plugs to control lumbar arteries during open repair of type II endoleaks  Kimberly Evans, MD, Anne C. Kim, MD, William C.
Salvage of bilateral renal artery occlusion after endovascular aneurysm repair with open splenorenal bypass  Samuel Jessula, MDCM, Christine R. Herman,

Salvage of bilateral renal artery occlusion after endovascular aneurysm repair with open splenorenal bypass  Samuel Jessula, MDCM, Christine R. Herman,
Type II endoleak after endovascular abdominal aortic aneurysm repair: a conservative approach with selective intervention is safe and cost-effective 

Type II endoleak after endovascular abdominal aortic aneurysm repair: a conservative approach with selective intervention is safe and cost-effective 
Overt colon ischemia after endovascular aneurysm repair: The importance of microembolization as an etiology  Nishan Dadian, MD, Takao Ohki, MD, Frank.

Overt colon ischemia after endovascular aneurysm repair: The importance of microembolization as an etiology  Nishan Dadian, MD, Takao Ohki, MD, Frank.
Role of type II endoleak in sac regression after endovascular repair of infrarenal abdominal aortic aneurysms  Jared Kray, DO, Spencer Kirk, DO, Jan Franko,

Role of type II endoleak in sac regression after endovascular repair of infrarenal abdominal aortic aneurysms  Jared Kray, DO, Spencer Kirk, DO, Jan Franko,
Nuno V. Dias, MD, PhD, Krassi Ivancev, MD, PhD, Timothy A

Nuno V. Dias, MD, PhD, Krassi Ivancev, MD, PhD, Timothy A
Retroperitoneal endoscopic ligation of lumbar and inferior mesenteric arteries as a treatment of persistent endoleak after endoluminal aortic aneurysm.

Retroperitoneal endoscopic ligation of lumbar and inferior mesenteric arteries as a treatment of persistent endoleak after endoluminal aortic aneurysm.
Transcaval embolization as an alternative technique for the treatment of type II endoleak after endovascular aortic aneurysm repair  Salvatore T. Scali,

Transcaval embolization as an alternative technique for the treatment of type II endoleak after endovascular aortic aneurysm repair  Salvatore T. Scali,
Endoleak after aortic stent graft repair: Diagnosis by color duplex ultrasound scan versus computed tomography scan  Dean T. Sato, MD, RVT, Charles D.

Endoleak after aortic stent graft repair: Diagnosis by color duplex ultrasound scan versus computed tomography scan  Dean T. Sato, MD, RVT, Charles D.
Bruce A. Perler, MD, MBA  Journal of Vascular Surgery 

Bruce A. Perler, MD, MBA  Journal of Vascular Surgery 
Time-resolved magnetic resonance angiography as a noninvasive method to characterize endoleaks: initial results compared with conventional angiography 

Time-resolved magnetic resonance angiography as a noninvasive method to characterize endoleaks: initial results compared with conventional angiography 
What is the clinical utility of a 6-month computed tomography in the follow-up of endovascular aneurysm repair patients?  Michael R. Go, MD, Joel E. Barbato,

What is the clinical utility of a 6-month computed tomography in the follow-up of endovascular aneurysm repair patients?  Michael R. Go, MD, Joel E. Barbato,
Left subclavian artery coverage during thoracic endovascular aortic repair: A single- center experience  Edward Y. Woo, MD, Jeffrey P. Carpenter, MD, Benjamin.

Left subclavian artery coverage during thoracic endovascular aortic repair: A single- center experience  Edward Y. Woo, MD, Jeffrey P. Carpenter, MD, Benjamin.

Similar presentations

Ads by Google