Treatment of a primary type IA endoleak with a liquid embolic system under conditions of aortic occlusion.
We present the case of a primary type IA endoleak after deployment of a bifurcated Ancure endograft (Guidant Endovascular Solutions, Menlo Park, Calif) to treat a 9-cm abdominal aortic aneurysm with a short angulated neck. The endoleak was treated unsuccessfully with repeat balloon angioplasty, placement of a Palmaz aortic stent (Cordis Endovascular, Miami, Fla), and deployment of an AneuRx aortic extender cuff (Medtronic AneuRx, Santa Rosa, Calif). The endoleak then was sealed with injection of n-butyl cyanoacrylate into the aneurysm sac at the site of the leak with occlusion of aortic flow. We suggest the use of this liquid embolic agent be considered as an adjunct to control primary type IA endoleaks when other forms of therapy have failed.
Kirby
Lem
L
Departments of Vascular Surgery and Interventional Radiology, Baptist Hospital of East Tennessee, Knoxville, TN 37916, USA. LemKirby@aol.com
Goodwin
John
J
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D021721:Balloon Occlusion; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D002015:Bucrylate / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation; D015607:Stents / Q000009:adverse effects*; D014014:Tissue Adhesives / Q000627:therapeutic use*
D014014:Tissue Adhesives; D002015:Bucrylate