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
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
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
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
Katada Y et al: Direct percutaneous puncture embolization of type II endoleaks using a coaxial technique. J Endovasc Ther. 20(1):34-8, 2013
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
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
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
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
Buckenham T et al: Cyanoacrylate embolization of endoleaks after abdominal aortic aneurysm repair. ANZ J Surg. 79(11):841-3, 2009
Boks SS et al: Ultrasound-guided percutaneous transabdominal treatment of a type 2 endoleak. Cardiovasc Intervent Radiol. 28(4):526-9, 2005
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
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
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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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
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
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
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
Katada Y et al: Direct percutaneous puncture embolization of type II endoleaks using a coaxial technique. J Endovasc Ther. 20(1):34-8, 2013
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
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
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
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
Buckenham T et al: Cyanoacrylate embolization of endoleaks after abdominal aortic aneurysm repair. ANZ J Surg. 79(11):841-3, 2009
Boks SS et al: Ultrasound-guided percutaneous transabdominal treatment of a type 2 endoleak. Cardiovasc Intervent Radiol. 28(4):526-9, 2005
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
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
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
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