scholarly journals Ischemic lumbosacral plexopathy after embolization of type 2 endoleak: Progress and functional outcome

2021 ◽  
Vol 9 (12) ◽  
Author(s):  
Kuan Geok Ng ◽  
Derek Chunyin Ho ◽  
Tze Chao Wee
Keyword(s):  
Functional Outcome ◽  
Lumbosacral Plexopathy ◽  
Type 2 Endoleak

scholarly journals Ischaemic Lumbosacral Plexopathy after Embolization of Type 2 Endoleak -- Progress and Functional Outcome

2021 ◽  
Author(s):  
Kuan Geok Ng ◽  
Tze Chao Wee ◽  
Chunyin Ho
Keyword(s):  
Functional Outcome ◽  
Rare Case ◽  
Endovascular Aneurysm Repair ◽  
Lumbosacral Plexopathy ◽  
Type 2 Endoleak ◽  
Aneurysm Repair ◽  
Rehabilitation Strategy

An endoleak is a complication that can occur after an endovascular aneurysm repair. We report a rare case of ischemic lumbosacral plexopathy post embolization of type 2 endoleak, including its presentation, neurological progress, rehabilitation strategy and functional outcome.

Ischemic Lumbosacral Plexopathy after Extensive Onyx Arterial Embolization for Type 2 Endoleak

2019 ◽  
Vol 30 (4) ◽  
pp. 619-621
Author(s):  
Jaideep Das Gupta ◽  
Muhammad Ali Rana ◽  
Patrick McGrew ◽  
Adam Delu ◽  
Sundeep Guliani ◽  
...  
Keyword(s):  
Arterial Embolization ◽  
Lumbosacral Plexopathy ◽  
Type 2 Endoleak

Successful Sac Embolization to Eliminate a Type 2 Endoleak After Thoracic Endovascular Aortic Repair by Penetration of a Vascular Plug Implanted in a Left Subclavian Artery

2021 ◽  
pp. 152660282110677
Author(s):  
Satoru Nagatomi ◽  
Shigeo Ichihashi ◽  
Daigo Kanamori ◽  
Hiroshi Yamamoto
Keyword(s):  
Aortic Aneurysm ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Side Branch ◽  
Hypogastric Artery ◽  
Vascular Plug ◽  
Type 2 Endoleak ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair

Purpose: To describe a technique of vascular plug penetration by a guidewire with a heavy tip load for additional embolization of a type 2 endoleak after endovascular aortic aneurysm repair (EVAR). Technique: The technique of vascular plug penetration is effective for additional embolization of a type 2 endoleak, when large arteries such as left subclavian artery (LSA) or hypogastric artery remain patent even after the embolization of the vessel has been performed using a vascular plug and are responsible for the endoleak. A tapered guidewire with a heavy tip load enables the penetration of the disk of the plug, followed by introduction of a microcatheter into the endoleak nidus. In the presented case, the technique successfully eliminated a type 2 endoleak in a thoracic aortic aneurysm for which a patent LSA despite the embolization by a vascular plug was responsible. Conclusion: The technique of vascular plug penetration allows an access to an endoleak cavity via a vascular plug placed in an aortic side branch for additional embolization of a type 2 endoleak after EVAR.

Type 2 Endoleak Incidence and Fate After Endovascular Aneurysms Repair in a Multicentric Series: Different Results with Different Devices?

2019 ◽  
Vol 56 ◽  
pp. 224-232 ◽  
Author(s):  
Pasqualino Sirignano ◽  
Laura Capoccia ◽  
Wassim Mansour ◽  
Sonia Ronchey ◽  
Federico Accrocca ◽  
...  
Keyword(s):  
Type 2 Endoleak

Persistent Type 2 Endoleak Post-EVAR with Aneurysm Expansion

2013 ◽  
pp. 129-137
Author(s):  
Robert P. Allison ◽  
Anna Maria Belli ◽  
Joo-Young Chun ◽  
Raymond Chung ◽  
Raj Das ◽  
...  
Keyword(s):  
Type 2 Endoleak

Dynamic CT perfusion imaging for type 2 endoleak assessment after endograft placement

2020 ◽  
Vol 139 ◽  
pp. 109701
Author(s):  
Stavros Charalambous ◽  
Nikolaos Kontopodis ◽  
Kostas Perisinakis ◽  
Antonios E. Papadakis ◽  
Elias Kehagias ◽  
...  
Keyword(s):  
Perfusion Imaging ◽  
Ct Perfusion ◽  
Dynamic Ct ◽  
Ct Perfusion Imaging ◽  
Type 2 Endoleak

scholarly journals Aortocaval fistula, a potentially favourable complication of abdominal aortic aneurysm rupture in endovascular repair

2020 ◽  
Vol 102 (8) ◽  
pp. e180-e182 ◽  
Author(s):  
S Greenfield ◽  
G Martin ◽  
M Malina ◽  
NS Theivacumar
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Endovascular Aneurysm Repair ◽  
Unexpected Finding ◽  
Ruptured Abdominal Aortic Aneurysm ◽  
Aortocaval Fistula ◽  
Abdominal Aortic ◽  
Type 2 Endoleak ◽  
Aneurysm Repair

Endovascular aneurysm repair is an established treatment for ruptured abdominal aortic aneurysm. Primary aortocaval fistula is an exceedingly rare finding in ruptured abdominal aortic aneurysm, with a reported incidence of less than 1%. The presence of an aortocaval fistula used to be an unexpected finding in open surgical repair which often resulted in massive haemorrhage and caval injury. We present a case of ruptured abdominal aortic aneurysm with an aortocaval fistula that was successfully treated with percutaneous endovascular aneurysm repair under local anaesthesia. Despite a persistent type 2 endoleak the aneurysm sack shrank from 8.4cm to 4.8cm in 12 months. The presence of an aortocaval fistula may have depressurised the aneurysm, resulting in less bleeding retroperitoneally and may have promoted rapid shrinkage of the sac despite the presence of a persistent type 2 endoleak.

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