title: Type IA endoleak embolization after TEVAR via direct transthoracic puncture.
abstract: We report the case of a 74-year-old man who developed type IA endoleak after endovascular thoracic aortic repair. The patient was admitted with expansion of the aneurysm after TEVAR, for additional therapy. Fluoroscopy and cone-beam computed tomography-guided direct transthoracic sac puncture and complete embolization of the endoleak channels with metal coils and glue were performed, and resulted in complete exclusion of the endoleak. One month after the coil embolization, the type IA endoleak was completely excluded, and the thoracic aneurysm had decreased in size.
authors.affiliation: Department of Cardiovascular Surgery, Iwaki Kyoritsu General Hospital, 16 Kusehara, Mimayamachi, Uchigo, Iwaki-shi, Fukushima, 973-8555, Japan, ktd-tmd@umin.ac.jp.
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Katada
authors.forename: Shunichi
authors.initials: S
authors.lastname: Kondo
authors.forename: Eitoshi
authors.initials: E
authors.lastname: Tsuboi
authors.forename: Ken
authors.initials: K
authors.lastname: Nakamura
authors.forename: Kyu
authors.initials: K
authors.lastname: Rokkaku
authors.forename: Yoshihito
authors.initials: Y
authors.lastname: Irie
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation; D054893:Cone-Beam Computed Tomography; D004621:Embolization, Therapeutic / Q000379:methods*; D057867:Endoleak / Q000628:therapy*; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D011677:Punctures