scholarly journals Treatment of an early type II endoleak causing hemorrhage after endovascular aneurysm repair for ruptured abdominal aortic aneurysm

2007 ◽  
Vol 45 (5) ◽  
pp. 1062-1065 ◽  
Author(s):  
Olivier Hartung ◽  
Vincent Vidal ◽  
Ivo Marani ◽  
Anthony Saran ◽  
Jean Michel Bartoli ◽  
...  
2016 ◽  
Vol 64 (6) ◽  
pp. 1645-1651 ◽  
Author(s):  
Anna E. Boniakowski ◽  
Randall R. De Martino ◽  
Dawn M. Coleman ◽  
Jonathan L. Eliason ◽  
Phillip P. Goodney ◽  
...  

2018 ◽  
Vol 02 (01) ◽  
pp. 055-058
Author(s):  
Justin Pugh ◽  
John Asquith ◽  
Shuvro Choudhury ◽  
Richard Morgan ◽  
David Wells

AbstractThe authors report a case of ongoing retroperitoneal hemorrhage from a ruptured abdominal aortic aneurysm (AAA) following treatment by endovascular abdominal aortic aneurysm repair (EVAR). Unusually, the continued hemorrhage was secondary to a lumbar type II endoleak. This was successfully embolized with onyx. Only one other similar case has been reported.


2020 ◽  
Vol 54 (7) ◽  
pp. 633-637
Author(s):  
Kelsi Hirai ◽  
Edvard Skripochnik ◽  
Lisa Marie Terrana ◽  
Shang Loh

Endovascular aneurysm repair (EVAR) has quickly outpaced open treatment of infrarenal abdominal aortic aneurysm (AAA) and iliac artery aneurysms, relegating most open AAA repair for either young patients with long life expectancy or patients with extreme anatomic constraints. Typically, open repair involves opening the aneurysm sac with suture ligation of back-bleeding vessels. However, in situations where an aortobifemoral repair is performed, proximal and distal ligation can be performed leaving behind a “remnant” aorta and iliac arteries. Usually, major palpable vessels are ligated and small lumbars spontaneously thrombose. However, failure of this to occur can lead to a rare situation in which there is persistent filling of a remnant aorta and aneurysm sac leading to a situation similar to a type II endoleak after EVAR. Typically, this leak has been repaired by open ligation. We present a technique for endovascular coiling and thrombin injection to correct a “type II endoleak” from a back-bleeding lumbar artery after open aortoiliac and femoral aneurysm repair.


Vascular ◽  
2014 ◽  
Vol 23 (2) ◽  
pp. 201-203 ◽  
Author(s):  
Jeremy C Smith ◽  
Stuart R Walker

We describe a patient who survived a ruptured abdominal aortic aneurysm without any surgical intervention. The patient had previously had endovascular repair of the aneurysm and surveillance of a stable persistent type II endoleak. This case highlights the difficulties surrounding type II endoleak, its natural history, and the ongoing controversies of its management.


Sign in / Sign up

Export Citation Format

Share Document