scholarly journals Comparison of Computed Tomography Angiography (CTA) Findings in Post-Endovascular Aortic Aneurysm Repair CTA between Persistent and Transient Type II Endoleak

2020 ◽  
Vol 72 (1) ◽  
pp. 67-73
Author(s):  
Jitladda Wasinrat
Keyword(s):  
Computed Tomography ◽  
Aortic Aneurysm ◽  
Computed Tomography Angiography ◽  
Type Ii ◽  
Type Ii Endoleak ◽  
Endovascular Aortic Aneurysm Repair ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair

Complexity of persistent type II endoleak associated with sac expansion after endovascular abdominal aortic aneurysm repair

Vascular ◽  
2014 ◽  
Vol 23 (6) ◽  
pp. 657-660 ◽  
Author(s):  
Konstantinos Spanos ◽  
Christos Rountas ◽  
Athanasios D Giannoukas
Keyword(s):  
Aortic Aneurysm ◽  
Abdominal Aortic Aneurysm Repair ◽  
Great Difficulty ◽  
Type Ii ◽  
Type Ii Endoleak ◽  
Endovascular Aortic Aneurysm Repair ◽  
Sigmoid Carcinoma ◽  
Diagnostic Modalities ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair

Type II endoleak after endovascular aortic aneurysm repair still remains the Achilles’ heel of the treatment, the source of which regularly is difficult to identify and treat. We present a patient with a persistent type II endoleak associated with a continuous aneurysm sac expansion after endovascular aortic aneurysm repair for which many diagnostic modalities were used during his follow-up such as duplex scan, computed tomography angiography and magnetic resonance angiography. Attempts were undertaken to treat the source of endoleak including coil micro-embolisation of lumbar arteries and subsequent open ligation of the inferior mesenteric artery, but they failed to eliminate the endoleak. Finally, a middle sacral artery was identified as the source of the endoleak. At that time, the patient was subjected to surgery for sigmoid carcinoma, and simultaneously, a ligation of the sacral artery was undertaken which eventually eliminated the endoleak completely. This case highlights that type II endoleak may be evoked by various sources and there can be a great difficulty to identify these feeding vessels; thus, careful planning for its management is mandatory.

scholarly journals Systematic review of laparoscopic ligation of inferior mesenteric artery for the treatment of type II endoleak after endovascular aortic aneurysm repair

2017 ◽  
Vol 66 (6) ◽  
pp. 1878-1884 ◽  
Author(s):  
Konstantinos Spanos ◽  
Nikolaos Tsilimparis ◽  
Axel Larena-Avellaneda ◽  
Athanasios D. Giannoukas ◽  
Sebastian E. Debus ◽  
...  
Keyword(s):  
Systematic Review ◽  
Aortic Aneurysm ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Type Ii ◽  
Type Ii Endoleak ◽  
Endovascular Aortic Aneurysm Repair ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair
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