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Kajiwara K, Yamagami T, Urashima M, et al. Embolization for type 2 endoleak with sac expansion after endovascular repair of abdominal aortic aneurysm: safety and effectiveness. Springerplus. 2016;5:262doi: 10.1186/s40064-016-1934-x.
Kajiwara, K., Yamagami, T., Urashima, M., Tomiyoshi, H., Kakizawa, H., Yoshimatsu, R., Ishikawa, M., & Awai, K. (2016). Embolization for type 2 endoleak with sac expansion after endovascular repair of abdominal aortic aneurysm: safety and effectiveness. SpringerPlus, 5262. https://doi.org/10.1186/s40064-016-1934-x
Kajiwara, Kenji, et al. "Embolization for type 2 endoleak with sac expansion after endovascular repair of abdominal aortic aneurysm: safety and effectiveness." SpringerPlus vol. 5 (2016): 262. doi: https://doi.org/10.1186/s40064-016-1934-x
Kajiwara K, Yamagami T, Urashima M, Tomiyoshi H, Kakizawa H, Yoshimatsu R, Ishikawa M, Awai K. Embolization for type 2 endoleak with sac expansion after endovascular repair of abdominal aortic aneurysm: safety and effectiveness. Springerplus. 2016 Mar 02;5:262. doi: 10.1186/s40064-016-1934-x. eCollection 2016. PMID: 27006871; PMCID: PMC4775713.
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Springerplus. 2016 Mar 02;5:262. doi: 10.1186/s40064-016-1934-x. eCollection 2016.

Embolization for type 2 endoleak with sac expansion after endovascular repair of abdominal aortic aneurysm: safety and effectiveness.

SpringerPlus

Kenji Kajiwara, Takuji Yamagami, Masaki Urashima, Hideki Tomiyoshi, Hideaki Kakizawa, Rika Yoshimatsu, Masaki Ishikawa, Kazuo Awai

Affiliations

  1. Diagnostic Radiology, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551 Japan.
  2. Diagnostic Radiology, Hiroshima City Hospital, 7-33 Motomachi, Naka-ku, Hiroshima, 730-8518 Japan.
  3. Radiology, Higashihiroshima Medical Center, 513 Saijyou-tyo, Hiroshima, 739-0041 Japan.
  4. Radiology, Hiroshima Red Cross Hospital and Atomic-Bomb Survivors Hospital, 1-9-6, Senda-machi, Naka-ku, Hiroshima, 730-8619 Japan.

PMID: 27006871 PMCID: PMC4775713 DOI: 10.1186/s40064-016-1934-x

Abstract

To evaluate the safety and outcome of embolization as treatment for persistent type 2 endoleak (T2EL) occurring after abdominal aortic stent graft implantation. This retrospective study included seven consecutive patients (one female, six males, mean age 72 years, range 66-88 years) with T2EL between January 2011 and September 2012. In all, T2EL was associated with an increase more than 5 mm in the aneurysm. The endoleak cavity or feeding artery was embolized with coils and/or n-butyl cyanoacrylate. Clinical success was defined as regression or stabilization of the aneurysm sac irrespective of residual endoleaks on follow-up CT studies. At the time of T2EL intervention, mean aneurysm sac diameter was 63 mm (range 52-72 mm), and mean increase size of aneurysm sac diameter was 7 mm (range 5-13). Mean follow-up period was 6.0 ± 6.2 months (range 3-18 months). Our technical success rate was 100 %. Clinical success was obtained in 5 (71.4 %) of the seven patients. One patient was embolized three times due to sac expansion. T2EL was treated by transarterial embolization in eight procedures, and one procedure was performed by direct puncture embolization. There were no major complications; two procedures elicited minor complications: transient back pain and muscle weakness of the left lower leg. We suggest embolization was safe and effective treatment, a less invasive treatment option comparison to open repair, as one choice to address T2EL.

Keywords: Embolization; Endovascular aneurysm repair; Interventional; Type 2 endoleak; Vascular

References

  1. Cardiovasc Intervent Radiol. 2005 Sep-Oct;28(5):641-5 - PubMed
  2. J Vasc Surg. 2004 Feb;39(2):306-13 - PubMed
  3. J Vasc Interv Radiol. 2009 Oct;20(10 ):1299-302 - PubMed
  4. J Vasc Interv Radiol. 2005 Jun;16(6):857-61 - PubMed
  5. J Vasc Surg. 2012 May;55(5):1263-7 - PubMed
  6. Cardiovasc Intervent Radiol. 2013 Feb;36(1):255-8 - PubMed
  7. Cardiovasc Intervent Radiol. 2014 Jun;37(3):613-22 - PubMed
  8. J Vasc Surg. 2001 Oct;34(4):600-5 - PubMed
  9. Cardiovasc Intervent Radiol. 2010 Apr;33(2):278-84 - PubMed
  10. J Vasc Surg. 2003 Jun;37(6):1155-61 - PubMed
  11. J Vasc Interv Radiol. 2012 Jul;23 (7):866-72; quiz 872 - PubMed
  12. Cardiovasc Intervent Radiol. 2003 Sep-Oct;26(5):482-4 - PubMed
  13. J Endovasc Ther. 2012 Apr;19(2):182-92 - PubMed
  14. J Vasc Interv Radiol. 2004 Nov;15(11):1263-7 - PubMed
  15. J Vasc Surg. 2003 Jul;38(1):61-6 - PubMed
  16. Ann Vasc Surg. 2003 May;17 (3):335-44 - PubMed
  17. J Vasc Surg. 2002 Jan;35(1):23-9 - PubMed

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