title: Neck-targeted, stand-alone coiling for successful treatment of type 1A endoleak following endovascular repair.
abstract: Endovascular repair is a standard of treatment for patients with abdominal aortic aneurysm who are unfit for open surgery. Type 1A endoleak (T1A-E) is defined as persistent blood flow outside the lumen of the endograft due to a failure of the graft to seal the proximal landing zone adequately. Accordingly, T1A-E treatment is mandatory, and endovascular options, when possible, consist of standard adjuncts as cuffs and stents or sometimes mere ballooning. Alternatively, different embolization techniques have been described in little or case series. We describe a successful management of large T1A-E with solely coil embolization of the isolated leakage area.
authors.affiliation: 1Department of Vascular Surgery, Fondazione IRCCS Policlinico S. Matteo, Pavia, Italy.
authors.forename: Vittorio
authors.initials: V
authors.lastname: Arici
authors.forename: Pietro
authors.initials: P
authors.lastname: Quaretti
authors.forename: Antonio
authors.initials: A
authors.lastname: Bozzani
authors.forename: Lorenzo Paolo
authors.initials: LP
authors.lastname: Moramarco
authors.forename: Mauro
authors.initials: M
authors.lastname: Rossi
authors.forename: Marianna
authors.initials: M
authors.lastname: Carlino
mesh_terms: D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D004621:Embolization, Therapeutic; D057867:Endoleak / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D057510:Endovascular Procedures / Q000009:adverse effects*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: abdominal aortic aneurysm; aortic endograft; embolization; endoleak; endovascular