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Embolization for persistent type IA endoleaks after chimney endovascular aneurysm repair with Onyx®.
Marcelin, C; Le Bras, Y; Petitpierre, F; Midy, D; Grenier, N; Ducasse, E; Cornélis, F.
Afiliação
  • Marcelin C; Department of imaging, hôpital Pellegrin, place Amélie-Raba-Léon, 33076 Bordeaux, France. Electronic address: clement.marcelin@gmail.com.
  • Le Bras Y; Department of imaging, hôpital Pellegrin, place Amélie-Raba-Léon, 33076 Bordeaux, France.
  • Petitpierre F; Department of imaging, hôpital Pellegrin, place Amélie-Raba-Léon, 33076 Bordeaux, France.
  • Midy D; Department of vascular surgery, hôpital Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux, France.
  • Grenier N; Department of imaging, hôpital Pellegrin, place Amélie-Raba-Léon, 33076 Bordeaux, France.
  • Ducasse E; Department of vascular surgery, hôpital Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux, France.
  • Cornélis F; Department of imaging, hôpital Pellegrin, place Amélie-Raba-Léon, 33076 Bordeaux, France.
Diagn Interv Imaging ; 98(12): 849-855, 2017 Dec.
Article em En | MEDLINE | ID: mdl-28528715
PURPOSE: The purpose of this study was to determine retrospectively the safety and technical success rate of embolization using ethylene vinyl alcohol copolymer (Onyx®) for persistent type 1A endoleaks after chimney endovascular aneurysm repair (EVAR) for complex aortic aneurysms. MATERIAL AND METHODS: Nine consecutive patients (6 men, 3 women) with a mean age of 78.6 years (range: 62-87 years) presenting with persistent type IA endoleaks after chimney EVAR and an increase of aneurysm size were treated using transarterial embolization with Onyx®. RESULTS: Technical success was obtained in all patients (100%) and no complications were observed. Mean follow-up was 16 months (range: 3-35 months). Primary clinical efficacy was obtained for 8/9 patients (89%) and primary technical efficacy for 6/9 patients (67%). Secondary clinical efficacy was 100%, and secondary technical efficacy was 78%. CONCLUSION: Our results suggest that arterial embolization using Onyx® appears as a feasible and safe endovascular procedure of type IA endoleaks after chimney EVAR, although further validation is now required.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Polivinil / Complicações Pós-Operatórias / Embolização Terapêutica / Endoleak Tipo de estudo: Observational_studies Limite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Diagn Interv Imaging Ano de publicação: 2017 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Polivinil / Complicações Pós-Operatórias / Embolização Terapêutica / Endoleak Tipo de estudo: Observational_studies Limite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Diagn Interv Imaging Ano de publicação: 2017 Tipo de documento: Article