Endoluminal treatment of type IA endoleak with Onyx.
Type IA endoleaks associated with endovascular aortic aneurysm repair are typically treated with endovascular adjuncts. Technical failure results when such maneuvers are unsuccessful, and endograft removal may, unfortunately, become necessary. The novel management of a recalcitrant type IA endoleak using the artificial embolization device, Onyx (Micro Therapeutics Inc, Irvine, Calif) is presented for the case of a nonagenarian with prohibitive surgical risk after conventional techniques had failed.
Grisafi
Joseph L
JL
Department of Surgery, Division of Vascular Surgery, Allegheny General Hospital, Pittsburgh, PA 15212, USA. grisafijl@yahoo.com
Boiteau
Guillaume
G
Detschelt
Elizabeth
E
Potts
Jonathan
J
Kiproff
Paul
P
Muluk
Satish C
SC
D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D057867:Endoleak / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D004867:Equipment Design; D005260:Female; D006801:Humans; D011474:Prosthesis Design; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome