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Aneurysm Coiling
Sriharsha Gummadi, MD; Andrej Lyshchik, MD, PhD
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KEY FACTS

  • Terminology

    • Preprocedure

      • Procedure

        • Post Procedure

          • Outcomes

            TERMINOLOGY

            • Definitions

              • Transabdominal image-guided coiling of persistent retrograde flow into aneurysmal sac after endovascular abdominal aortic repair (EVAR)
                • Direct endoleak coiling provides more stable results compared to transvascular approach and should be considered as treatment of choice when aggressive endoleak management indicated

            PREPROCEDURE

            • Indications

              • Contraindications

                • Preprocedure Imaging

                  • Getting Started

                    PROCEDURE

                    • Patient Position/Location

                      • Equipment Preparation

                        • Procedure Steps

                          • Findings and Reporting

                            • Alternative Procedures/Therapies

                              POST PROCEDURE

                              • Expected Outcome

                                • Things To Do

                                  • Things To Avoid

                                    OUTCOMES

                                    • Problems

                                      • Complications

                                        Selected References

                                        1. Wolosker N et al: Successful image-guided percutaneous embolization of a ruptured abdominal aortic aneurysm sac due to type II endoleak after endovascular repair. Ann Vasc Surg. 29(2):361.e1-4, 2015
                                        2. Bangard C et al: Thoracic type Ia endoleak: direct percutaneous coil embolization of the aortic arch at the blood entry site after TEVAR and double-chimney stent-grafts. Eur Radiol. 24(6):1430-4, 2014
                                        3. Van Strijen MJ et al: Experience with new techniques for the treatment of type II endoleaks post-EVAR. J Cardiovasc Surg (Torino). 55(5):581-92, 2014
                                        4. Katada Y et al: Direct percutaneous puncture embolization of type II endoleaks using a coaxial technique. J Endovasc Ther. 20(1):34-8, 2013
                                        5. Criado E et al: Endovascular aortic aneurysm repair with carbon dioxide-guided angiography in patients with renal insufficiency. J Vasc Surg. 55(6):1570-5, 2012
                                        6. Uthoff H et al: Direct percutaneous sac injection for postoperative endoleak treatment after endovascular aortic aneurysm repair. J Vasc Surg. 56(4):965-72, 2012
                                        7. Nevala T et al: Type II endoleak after endovascular repair of abdominal aortic aneurysm: effectiveness of embolization. Cardiovasc Intervent Radiol. 33(2):278-84, 2010
                                        8. Bashir MR et al: Endoleaks after endovascular abdominal aortic aneurysm repair: management strategies according to CT findings. AJR Am J Roentgenol. 192(4):W178-86, 2009
                                        9. Buckenham T et al: Cyanoacrylate embolization of endoleaks after abdominal aortic aneurysm repair. ANZ J Surg. 79(11):841-3, 2009
                                        10. Boks SS et al: Ultrasound-guided percutaneous transabdominal treatment of a type 2 endoleak. Cardiovasc Intervent Radiol. 28(4):526-9, 2005
                                        11. Stavropoulos SW et al: Embolization of type 2 endoleaks after endovascular repair of abdominal aortic aneurysms with use of cyanoacrylate with or without coils. J Vasc Interv Radiol. 16(6):857-61, 2005
                                        12. Baum RA et al: Treatment of type 2 endoleaks after endovascular repair of abdominal aortic aneurysms: comparison of transarterial and translumbar techniques. J Vasc Surg. 35(1):23-9, 2002
                                        13. Schmid R et al: CT-guided percutaneous embolization of a lumbar artery maintaining a type II endoleak. J Endovasc Ther. 9(2):198-202, 2002
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Preprocedure

                                            • Procedure

                                              • Post Procedure

                                                • Outcomes

                                                  TERMINOLOGY

                                                  • Definitions

                                                    • Transabdominal image-guided coiling of persistent retrograde flow into aneurysmal sac after endovascular abdominal aortic repair (EVAR)
                                                      • Direct endoleak coiling provides more stable results compared to transvascular approach and should be considered as treatment of choice when aggressive endoleak management indicated

                                                  PREPROCEDURE

                                                  • Indications

                                                    • Contraindications

                                                      • Preprocedure Imaging

                                                        • Getting Started

                                                          PROCEDURE

                                                          • Patient Position/Location

                                                            • Equipment Preparation

                                                              • Procedure Steps

                                                                • Findings and Reporting

                                                                  • Alternative Procedures/Therapies

                                                                    POST PROCEDURE

                                                                    • Expected Outcome

                                                                      • Things To Do

                                                                        • Things To Avoid

                                                                          OUTCOMES

                                                                          • Problems

                                                                            • Complications

                                                                              Selected References

                                                                              1. Wolosker N et al: Successful image-guided percutaneous embolization of a ruptured abdominal aortic aneurysm sac due to type II endoleak after endovascular repair. Ann Vasc Surg. 29(2):361.e1-4, 2015
                                                                              2. Bangard C et al: Thoracic type Ia endoleak: direct percutaneous coil embolization of the aortic arch at the blood entry site after TEVAR and double-chimney stent-grafts. Eur Radiol. 24(6):1430-4, 2014
                                                                              3. Van Strijen MJ et al: Experience with new techniques for the treatment of type II endoleaks post-EVAR. J Cardiovasc Surg (Torino). 55(5):581-92, 2014
                                                                              4. Katada Y et al: Direct percutaneous puncture embolization of type II endoleaks using a coaxial technique. J Endovasc Ther. 20(1):34-8, 2013
                                                                              5. Criado E et al: Endovascular aortic aneurysm repair with carbon dioxide-guided angiography in patients with renal insufficiency. J Vasc Surg. 55(6):1570-5, 2012
                                                                              6. Uthoff H et al: Direct percutaneous sac injection for postoperative endoleak treatment after endovascular aortic aneurysm repair. J Vasc Surg. 56(4):965-72, 2012
                                                                              7. Nevala T et al: Type II endoleak after endovascular repair of abdominal aortic aneurysm: effectiveness of embolization. Cardiovasc Intervent Radiol. 33(2):278-84, 2010
                                                                              8. Bashir MR et al: Endoleaks after endovascular abdominal aortic aneurysm repair: management strategies according to CT findings. AJR Am J Roentgenol. 192(4):W178-86, 2009
                                                                              9. Buckenham T et al: Cyanoacrylate embolization of endoleaks after abdominal aortic aneurysm repair. ANZ J Surg. 79(11):841-3, 2009
                                                                              10. Boks SS et al: Ultrasound-guided percutaneous transabdominal treatment of a type 2 endoleak. Cardiovasc Intervent Radiol. 28(4):526-9, 2005
                                                                              11. Stavropoulos SW et al: Embolization of type 2 endoleaks after endovascular repair of abdominal aortic aneurysms with use of cyanoacrylate with or without coils. J Vasc Interv Radiol. 16(6):857-61, 2005
                                                                              12. Baum RA et al: Treatment of type 2 endoleaks after endovascular repair of abdominal aortic aneurysms: comparison of transarterial and translumbar techniques. J Vasc Surg. 35(1):23-9, 2002
                                                                              13. Schmid R et al: CT-guided percutaneous embolization of a lumbar artery maintaining a type II endoleak. J Endovasc Ther. 9(2):198-202, 2002