title: Management of type II endoleak after endovascular repair of arteriocaval fistula complicating aortoiliac aneurysm: case report and literature review.
abstract: Endovascular treatment for arteriocaval fistula (ACF) has become the preferred alternative to open repair. However, endoleaks sometimes occur and maintain the ACF. A 64-year-old man presented with persistent fistula after placement of a bifurcated stent-graft for ACF complicating an aortoiliac aneurysm that was maintained by endoleaks from the inferior mesenteric and lumbar arteries. Transarterial embolization of the aneurysm sac and inferior mesenteric artery successfully resolved the problem without any complications observed over 16 months of follow-up. A literature review and discussion of the management options for this entity are presented. A combination of inflow and outflow control is important to obtain better long-term outcomes.
authors.affiliation: Center for Endovascular Therapy, Kobe University Hospital, Kobe, Japan; Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan. Electronic address: eisukeueshima@yahoo.co.jp.
authors.forename: Eisuke
authors.initials: E
authors.lastname: Ueshima
authors.affiliation: Center for Endovascular Therapy, Kobe University Hospital, Kobe, Japan; Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan.
authors.forename: Masato
authors.initials: M
authors.lastname: Yamaguchi
authors.affiliation: Center for Endovascular Therapy, Kobe University Hospital, Kobe, Japan.
authors.forename: Akhmadu
authors.initials: A
authors.lastname: Muradi
authors.affiliation: Center for Endovascular Therapy, Kobe University Hospital, Kobe, Japan; Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan.
authors.forename: Takuya
authors.initials: T
authors.lastname: Okada
authors.affiliation: Center for Endovascular Therapy, Kobe University Hospital, Kobe, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Idoguchi
authors.affiliation: Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan.
authors.forename: Keitaro
authors.initials: K
authors.lastname: Sofue
authors.affiliation: Center for Endovascular Therapy, Kobe University Hospital, Kobe, Japan; Cardiovascular Division, Department of Surgery, Kobe University Graduate School of Medicine, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan; Vascular and Endovascular Division, Department of Surgery, Cipto Mangunkusumo Hospital, Faculty of Medicine University of Indonesia, Jakarta, Indonesia.
authors.forename: Yoshikatsu
authors.initials: Y
authors.lastname: Nomura
authors.affiliation: Cardiovascular Division, Department of Surgery, Kobe University Graduate School of Medicine, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan; Vascular and Endovascular Division, Department of Surgery, Cipto Mangunkusumo Hospital, Faculty of Medicine University of Indonesia, Jakarta, Indonesia.
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Okita
authors.affiliation: Center for Endovascular Therapy, Kobe University Hospital, Kobe, Japan; Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Sugimoto
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D003287:Contrast Media; D004621:Embolization, Therapeutic / Q000379:methods*; D057867:Endoleak / Q000000981:diagnostic imaging / Q000628:therapy*; D057510:Endovascular Procedures / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D011856:Radiographic Image Enhancement / Q000379:methods; D015607:Stents; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000000981:diagnostic imaging; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging
chemical_list: D003287:Contrast Media