Use of carbon dioxide for therapeutic decision-making in endoleaks: a case report.

Autor:	Megale AB; Hospital Israelita Albert Einstein, São Paulo, SP, Brasil., Mendes CA; Hospital Israelita Albert Einstein, São Paulo, SP, Brasil., Teivelis MP; Hospital Israelita Albert Einstein, São Paulo, SP, Brasil., Faustino CB; Hospital Israelita Albert Einstein, São Paulo, SP, Brasil., Souza KP; Hospital Israelita Albert Einstein, São Paulo, SP, Brasil., Wolosker N; Hospital Israelita Albert Einstein, São Paulo, SP, Brasil.
Jazyk:	angličtina
Zdroj:	Jornal vascular brasileiro [J Vasc Bras] 2020 Nov 16; Vol. 19, pp. e20200060. Date of Electronic Publication: 2020 Nov 16.
DOI:	10.1590/1677-5449.200060
Abstrakt:	Endovascular aneurysm repair is currently the most frequently treatment modality for infrarenal aortic aneurysms. Endoleaks are the most common cause of reintervention after endovascular aneurysm repair. It is often unclear which type of endoleak is the correct diagnose, making the treatment decision difficult. We report the case of a 72-year-old man with an endoleak two years after endovascular aneurysm repair. Images suggested a type III endoleak, but this was not confirmed by contrast aortography. We proceeded with the investigation using aortography with carbon dioxide and observed a type IA endoleak. This was successfully treated by implantation of a proximal cuff. A review of the literature shows that the role of carbon dioxide in endoleak management is still unclear. We present a case in which carbon dioxide was essential to both diagnosis and therapeutic decision-making in a type IA endoleak. Competing Interests: Conflicts of interest: No conflicts of interest declared concerning the publication of this article.
Databáze:	MEDLINE
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