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Direct percutaneous puncture embolization of type II endoleaks using a coaxial technique.

AbstractPURPOSE:
To demonstrate a coaxial needle technique for direct percutaneous puncture embolization of type II endoleaks.
TECHNIQUE:
The technique is demonstrated in a 79-year-old woman and an 80-year-old man who developed type II endoleaks after endovascular repair of thoracic and internal iliac artery aneurysms, respectively. Expansion of the aneurysms required additional therapy. Fluoroscopy and cone-beam computed tomography-guided direct percutaneous endoleak sac embolization with n-butyl-2-cyanoacrylate (NBCA)-lipiodol was performed using the coaxial technique, which resulted in complete embolization of the endoleak sac. At 6 and 3 months after embolotherapy, respectively, the NBCA-lipiodol filled the endoleak sacs and the communicating channels up to the respective feeding arteries; no enlargement of the aneurysms was observed.
CONCLUSION:
Direct percutaneous sac embolization using a coaxial technique for type II endoleaks is a feasible treatment and yields good short-term results. More experience with this technique and longer follow-up of these patients is needed.
AuthorsYoshiaki Katada, Shunichi Kondo, Shoichi Takahashi, Yohei Okita, Akihito Kagoshima, Kyu Rokkaku, Miwako Nozaki
JournalJournal of endovascular therapy : an official journal of the International Society of Endovascular Specialists (J Endovasc Ther) Vol. 20 Issue 1 Pg. 34-8 (Feb 2013) ISSN: 1545-1550 [Electronic] United States
PMID23391081 (Publication Type: Case Reports, Journal Article)
Topics
  • Aged
  • Cone-Beam Computed Tomography
  • Embolization, Therapeutic (methods)
  • Endoleak (classification, radiography, therapy)
  • Female
  • Humans
  • Punctures

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