Transcatheter transcaval embolization of a type II endoleak after EVAR using a transseptal needle-sheath system.
| Autor: | Midulla M; Cardiovascular and Interventional Radiology, Hôpital Cardiologique, CHRU de Lille, France., Perini P, Sundareyan R, Lazguet Y, Dehaene A, Goyault G, Martinelli T, Haulon S |
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| Jazyk: | angličtina |
| Zdroj: | Vascular and endovascular surgery [Vasc Endovascular Surg] 2012 Jul; Vol. 46 (5), pp. 410-3. Date of Electronic Publication: 2012 May 22. |
| DOI: | 10.1177/1538574412448683 |
| Abstrakt: | Purpose: The purpose of this study is to present an alternative technique for management of a type II endoleak associated with aneurysm sac enlargement. Technique: We report the use of a transseptal needle-sheath system for a transcatheter transcaval embolization (TTE) in a 3-staged treatment of a persistent type II endoleak after abdominal EVAR. Inferior vena cava is cannulated through a femoral venous access, and aneurysmal sac access is gained with a puncture through the walls of the 2 vessels at the site where the vein is adjacent to the aneurysm. The whole system (sheath-dilator-needle) is then advanced across the vascular walls into the aortic sac. Thus, embolization with glue is performed. Conclusion: The TTE using a transseptal needle-sheath system demonstrated to be feasible and effective to treat a persistent type II endoleak after failure of 2 attempts of transarterial embolization of the feeding vessels. |
| Databáze: | MEDLINE |
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