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Ogawa Y, Nishimaki H, Chiba K, et al. Life-Saving Embolization in a Patient with Recurrent Shock Due to a Type II Endoleak after Endovascular Aortic Repair for a Ruptured Abdominal Aortic Aneurysm. Ann Vasc Dis. 2015;8(2):131-4doi: 10.3400/avd.cr.15-00015.
Ogawa, Y., Nishimaki, H., Chiba, K., Ro, D., Ono, H., Sakurai, Y., Fujiwara, K., Murakami, K., Hamaguchi, S., Yagihashi, K., Miyairi, T., & Nakajima, Y. (2015). Life-Saving Embolization in a Patient with Recurrent Shock Due to a Type II Endoleak after Endovascular Aortic Repair for a Ruptured Abdominal Aortic Aneurysm. Annals of vascular diseases, 8(2), 131-4. https://doi.org/10.3400/avd.cr.15-00015
Ogawa, Yukihisa, et al. "Life-Saving Embolization in a Patient with Recurrent Shock Due to a Type II Endoleak after Endovascular Aortic Repair for a Ruptured Abdominal Aortic Aneurysm." Annals of vascular diseases vol. 8,2 (2015): 131-4. doi: https://doi.org/10.3400/avd.cr.15-00015
Ogawa Y, Nishimaki H, Chiba K, Ro D, Ono H, Sakurai Y, Fujiwara K, Murakami K, Hamaguchi S, Yagihashi K, Miyairi T, Nakajima Y. Life-Saving Embolization in a Patient with Recurrent Shock Due to a Type II Endoleak after Endovascular Aortic Repair for a Ruptured Abdominal Aortic Aneurysm. Ann Vasc Dis. 2015;8(2):131-4. doi: 10.3400/avd.cr.15-00015. Epub 2015 Jun 05. PMID: 26131038; PMCID: PMC4485037.
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Ann Vasc Dis. 2015;8(2):131-4. doi: 10.3400/avd.cr.15-00015. Epub 2015 Jun 05.

Life-Saving Embolization in a Patient with Recurrent Shock Due to a Type II Endoleak after Endovascular Aortic Repair for a Ruptured Abdominal Aortic Aneurysm.

Annals of vascular diseases

Yukihisa Ogawa, Hiroshi Nishimaki, Kiyoshi Chiba, Daijun Ro, Hirokuni Ono, Yuka Sakurai, Keishi Fujiwara, Kenji Murakami, Shingo Hamaguchi, Kunihiro Yagihashi, Takeshi Miyairi, Yasuo Nakajima

Affiliations

  1. Department of Radiology, St. Marianna University, School of Medicine, Kawasaki, Kanagawa, Japan.
  2. Department of Cardiovascular Surgery, St. Marianna University, School of Medicine, Kawasaki, Kanagawa, Japan.

PMID: 26131038 PMCID: PMC4485037 DOI: 10.3400/avd.cr.15-00015

Abstract

A man in his 80s underwent urgent endovascular aortic repair (EVAR) for a ruptured abdominal aortic aneurysm (RAAA). Surgery was completed without apparent complications, and the patient was returned to the Cardiac Care Unit. Two hours later, he again developed shock, and contrast-enhanced Computed Tomography showed extravasation from a type II endoleak (T2EL) involving the IMA. Transcatheter arterial embolization (TAE) was immediately performed, and the patient's vital signs stabilized soon after embolization. Abdominal compartment syndrome was suspected during the procedure, so a retroperitoneal hematoma evacuation was performed. The patient's postoperative course was satisfactory, and he transferred to another hospital. EVAR for RAAA would be useful, but it is necessary to be considered that T2EL can cause the aggravation of unstable circulation.

Keywords: endovascular aortic repair; ruptured abdominal aortic aneurysm; transcatheter arterial embolization; type II endoleak

References

  1. J Vasc Surg. 2013 May;57(5):1255-60 - PubMed
  2. Br J Surg. 2002 Jun;89(6):714-30 - PubMed
  3. J Vasc Surg. 2006 Jul;44(1):1-8; discussion 8 - PubMed
  4. BMJ. 2014 Jan 13;348:f7661 - PubMed
  5. J Vasc Surg. 2005 Oct;42(4):615-23; discussion 623 - PubMed
  6. Lancet. 1994 Dec 10;344(8937):1645 - PubMed
  7. Ann Vasc Dis. 2013;6(2):169-74 - PubMed
  8. Ann Vasc Surg. 2014 Jul;28(5):1249-57 - PubMed
  9. Cardiovasc Intervent Radiol. 2015 Apr;38(2):457-62 - PubMed
  10. J Vasc Surg. 2008 Jan;47(1):214-221 - PubMed

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