Embolization of a type 2 endoleak through catheterization of a hypogastric branched stent-graft.
In contrast to internal iliac artery (IIA) occlusion, the use of branch stent-graft (BSG) has been developed as an efficient adjunct in preserving pelvic blood flow. However, the risk of post-procedural type 2 endoleak (EL) remains. We present the case of an 80-year-old man with a juxtarenal aneurysm extending to both common and IIA. The patient was treated with a fenestrated device and a left BSG after embolization of the right IIA branches. At 6 months, the persistence of a type 2 EL associated with aneurysm growth mandated EL embolization through the BSG with a good result. Technical issues are discussed.
Coscas
Raphael
R
Department of Vascular and Endovascular Surgery, Cleveland Clinic, Cleveland, OH 44195, USA.
Greenberg
Roy K
RK
Pfaff
Kathryn
K
D000369:Aged, 80 and over; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D004621:Embolization, Therapeutic; D006801:Humans; D017543:Iliac Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D010388:Pelvis / Q000098:blood supply*; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012447:Sacrum / Q000098:blood supply*; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome