Transcatheter Transcaval Embolization of a Type II Endoleak After EVAR Using a Transseptal Needle-Sheath System
| Autor: | Thomas Martinelli, Gilles Goyault, Younes Lazguet, Paolo Perini, Marco Midulla, Stéphan Haulon, Ramanivas Sundareyan, Aurelie Dehaene |
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| Přispěvatelé: | Midulla, Marco, Perini, Paolo, Sundareyan, Ramaniva, Lazguet, Youne, Dehaene, Aurelie, Goyault, Gille, Martinelli, Thoma, Haulon, Stéphan |
| Rok vydání: | 2012 |
| Předmět: |
Male
Transseptal needle Endoleak medicine.medical_treatment Treatment outcome embolization Catheterization Central Venou Injections Intralesional Aortic aneurysm X ray computed Needle Embolization Catheter Endovascular Procedures Equipment Design General Medicine Enbucrilate Embolization Therapeutic Prosthesis Failure Puncture Blood Vessel Prosthesi Treatment Outcome Needles cardiovascular system Radiology glue Cardiology and Cardiovascular Medicine Human Catheterization Central Venous medicine.medical_specialty Catheters Vena cava Vena Cava Inferior Punctures Blood Vessel Prosthesis Implantation Aneurysm Blood vessel prosthesis medicine Humans Aged Endovascular Procedure business.industry Iodized Oil Femoral Vein medicine.disease Blood Vessel Prosthesis Surgery Tomography X-Ray Computed business transcaval Aortic Aneurysm Abdominal |
| Zdroj: | Vascular and Endovascular Surgery. 46:410-413 |
| ISSN: | 1938-9116 1538-5744 |
| DOI: | 10.1177/1538574412448683 |
| Popis: | 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. © The Author(s) 2012. |
| Databáze: | OpenAIRE |
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