Direct percutaneous puncture embolization of type II endoleaks using a coaxial technique.
J Endovasc Ther
; 20(1): 34-8, 2013 Feb.
Article
em En
| MEDLINE
| ID: mdl-23391081
ABSTRACT
PURPOSE:
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.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Embolização Terapêutica
/
Endoleak
Limite:
Aged
/
Female
/
Humans
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article