Use of glue and microcoils for transarterial catheter embolization of a type 1 endoleak.
We present a unique case of abdominal aortic aneurysm initially presenting with inferior vena cava compression leading to deep venous thrombosis, for which the patient subsequently underwent an endovascular aortic repair. Aorto-uni-iliac endografting was performed for subacute occlusion of left common iliac artery complicated by proximal type 1 endoleak. Subsequent management of the endoleak was successful, using a liquid embolic agent (cyanoacrylate) by transarterial approach. Transarterial catheter embolization with glue and coils is a feasible technique for high flow type 1 endoleaks. Glue injection carries the risk of non-target embolization, and thus this option should be reserved for experienced hands.
Peynircioğlu
Bora
B
Department of Radiology, Hacettepe University School of Medicine, Ankara, Turkey.
Türkbey
Bariş
B
Ozkan
Murat
M
Cil
Barbaros E
BE
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D003487:Cyanoacrylates / Q000627:therapeutic use*; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D017543:Iliac Aneurysm / Q000601:surgery; D007083:Iliac Artery / Q000601:surgery; D008297:Male; D011183:Postoperative Complications; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000601:surgery*
D003487:Cyanoacrylates