title: Treatment of type II endoleaks after endovascular repair of abdominal aortic aneurysms: transcaval approach.
abstract: The purpose of the note is to describe a new technique for type II endoleak treatment, using an alternative approach through femoral venous access. Three patients who developed type II endoleak after endovascular repair of abdominal aortic aneurysm were treated with direct transcaval puncture and embolization inside the aneurysm sac. The detailed technique is described. All patients were treated without any complications and discharged 48 hours after the treatment. At 1 month follow-up the computed tomograph scan did not show a recurrence of a type II endoleak. The management of patients with type II endoleak is a controversial issue and different techniques have been proposed. We suggest an alternative technique for type II endoleak treatment. The feasibility and the advantages of this approach can offer new possibilities for the diagnosis as well as for the treatment of this complication.
authors.affiliation: Department of Radiology, University Hospital "GB Rossi", Verona, Italy, giancarlo.mansueto@univr.it
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Mansueto
authors.forename: Daniela
authors.initials: D
authors.lastname: Cenzi
authors.forename: Mirko
authors.initials: M
authors.lastname: D'Onofrio
authors.forename: Enrico
authors.initials: E
authors.lastname: Petrella
authors.forename: Andrew A
authors.initials: AA
authors.lastname: Gumbs
authors.forename: Roberto Pozzi
authors.initials: RP
authors.lastname: Mucelli
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000503:physiopathology / Q000601:surgery*; D001794:Blood Pressure; D003287:Contrast Media / Q000008:administration & dosage; D004621:Embolization, Therapeutic; D005240:Feasibility Studies; D005268:Femoral Vein / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005471:Fluoroscopy; D005500:Follow-Up Studies; D006801:Humans; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects* / Q000379:methods*; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*
chemical_list: D003287:Contrast Media