Severe Adverse Reaction During DMSO Injection for Onyx Embolization of a Thoracic Type II Endoleak

2015 ◽  
Vol 39 (1) ◽  
pp. 144-145 ◽  
Author(s):  
Moritz Wildgruber ◽  
René Müller-Wille ◽  
Volker Busch ◽  
Walter A. Wohlgemuth ◽  
Peter Heiss
Keyword(s):  
Adverse Reaction ◽  
Type Ii ◽  
Severe Adverse Reaction ◽  
Type Ii Endoleak

Persistent Type II Endoleak Unrelated to an Anaconda Aortic Stent Graft Fulfilling the 3Bs Requirements of Biofunctionality, Biodurability, and Biocompatibility

2008 ◽  
Vol 18 (3) ◽  
pp. 205-225 ◽  
Author(s):  
Tieying Yin ◽  
Robert Guidoin ◽  
Mark Nutley ◽  
Lu Xu ◽  
Georgi R. Marinov ◽  
...  
Keyword(s):  
Stent Graft ◽  
Type Ii ◽  
Type Ii Endoleak ◽  
Aortic Stent Graft

Image-guided translumbar type II endoleak repair: A novel approach

2020 ◽  
Vol 4 ◽  
pp. 9
Author(s):  
Salman Mirza ◽  
Shahnawaz Ansari
Keyword(s):  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Endovascular Aneurysm Repair ◽  
Type Ii ◽  
Type Ii Endoleak ◽  
Image Guided ◽  
Novel Approach ◽  
Abdominal Aortic ◽  
Aneurysm Repair

We present a case of a 72-year-old male with an abdominal aortic aneurysm status post-endovascular aneurysm repair (EVAR). Follow-up imaging demonstrated an enlarging type II endoleak and attempts at transarterial coil embolization of the inferior mesenteric artery were unsuccessful. The patient underwent image-guided percutaneous translumbar type II endoleak repair using XperGuide (Philips, Andover, MA USA).

scholarly journals Prophylactic Aneurysm Embolization During EVAR Is Safe, Improves Sac Regression And Decreases The Incidence Of Type II Endoleak

2021 ◽  
Vol 73 (6) ◽  
pp. 2206
Author(s):  
A. Mathlouthi ◽  
I. Guajardo ◽  
O. Al-Nouri ◽  
M. Malas ◽  
Barleben
Keyword(s):  
Type Ii ◽  
Type Ii Endoleak ◽  
Aneurysm Embolization

Endovascular treatment of an ilio-iliac arteriovenous fistula accompanied by venous thromboembolism presenting with multiple organ failure – A case report and literature review

Vascular ◽  
2021 ◽  
pp. 170853812199657
Author(s):  
Tiehao Wang ◽  
Jichun Zhao ◽  
Ding Yuan
Keyword(s):  
Multiple Organ Failure ◽  
Arteriovenous Fistula ◽  
Organ Failure ◽  
Iliac Artery ◽  
Vena Cava ◽  
Artery Aneurysm ◽  
Multiple Organ ◽  
High Rate ◽  
Type Ii ◽  
Type Ii Endoleak

Objectives Multiple organ failure is a rare manifestation of ilio-iliac arteriovenous fistula which can lead to a high rate of misdiagnosis and death. Methods We reported a 61-year-old man presenting with multiple organ failure rapidly after right lower limb swelling. Computed tomography angiography showed an ilio-iliac arteriovenous fistula caused by right common iliac artery aneurysm, and venous thrombosis of bilateral common iliac veins. A bifurcated stent-graft with coil embolization of right internal iliac artery was used for repair. Results The patient recovered rapidly and was discharged without complications. Although arteriovenous fistula persisted due to type II endoleak, aneurysm sac and inferior vena cava significantly shrunk at six months follow-up. Conclusions This report demonstrated that multiple organ failure may appear when the distal outflow tracts of arteriovenous fistula are obstructed. Moreover, endovascular repair is effective for reversal of multiple organ failure caused by arteriovenous fistula, even if arteriovenous fistula persists due to type II endoleak.

Treatment of Heparin-Induced Thrombocytopenia

2002 ◽  
Vol 36 (3) ◽  
pp. 489-503 ◽  
Author(s):  
William E Dager ◽  
Richard H White
Keyword(s):  
Adverse Reaction ◽  
Treatment Options ◽  
Clinical Manifestations ◽  
Low Molecular Weight ◽  
National Library ◽  
Severe Adverse Reaction ◽  
Heparin Induced Thrombocytopenia ◽  
Immune Mediated ◽  
Study Selection ◽  
Clinical Conditions

OBJECTIVE: To describe heparin-induced thrombocytopenia (HIT or HIT-2), an immune-mediated adverse reaction to heparin or low-molecular-weight heparin. Available treatment options and considerations in developing a therapy approach are discussed. DATA SOURCES: A search of the National Library of Medicine (1992–June 2001) was done to identify pertinent literature. Additional references were reviewed from selected articles. STUDY SELECTION: Articles related to laboratory recognition and treatment options of HIT, including the use of agents in selected clinical conditions, were reviewed and included. CONCLUSIONS: HIT is a rare but potentially severe adverse reaction to heparin that was, until recently, poorly understood and had limited treatment options. Recent advances describing the recognition and clinical manifestations of immune-mediated HIT, including recently available antithrombotic treatment options, have dramatically changed outcomes for patients having this syndrome.

Noninvasive Diagnosis of Incomplete Endovascular Aneurysm Repair: D-Dimer Assay to Detect Type I Endoleaks and Nonshrinking Aneurysms

2002 ◽  
Vol 9 (1) ◽  
pp. 90-97 ◽  
Author(s):  
Francesco Serino ◽  
Damiano Abeni ◽  
Elisabetta Galvagni ◽  
Savino G. Sardella ◽  
Alberto Scuro ◽  
...  
Keyword(s):  
Thrombotic Event ◽  
Endovascular Aneurysm Repair ◽  
Test Group ◽  
Type I ◽  
Type Ii ◽  
Type Ii Endoleak ◽  
Blood Samples ◽  
Type I Endoleak ◽  
D Values ◽  
D Dimer

Purpose: To test the hypothesis that D-dimer (D-D), a cross-linked fibrin degradation product of an ongoing thrombotic event, could be a marker for incomplete aneurysm exclusion after endovascular abdominal aortic aneurysm (AAA) repair. Methods: In a multicenter study, 83 venous blood samples were collected from 74 AAA endograft patients and controls. Twenty subjects who were >6 months postimplantation and had evidence of an endoleak and/or an unmodified or increasing AAA sac diameter formed the test group. Controls were 10 nondiseased subjects >65 years old, 18 AAA surgical candidates, and 26 postoperative endograft patients with no endoleak and a shrinking aneurysm. Blood samples were analyzed for D-D through a latex turbidimetric immunoassay. The endograft patients were stratified into 5 clinical groups for analysis: no endoleak and decreasing sac diameter, no endoleak and increasing/unchanged sac diameter, type II endoleak and decreasing sac diameter, type II endoleak and increasing/unchanged sac diameter, and type I endoleak. Results: Individual D-D values were highly variable, but differences among clinical groups were statistically significant (p < 0.0001). D-D values did not vary significantly between patients with stable, untreated AAAs and age-matched controls (238 ± 180 ng/mL versus 421 ± 400 ng/mL, p > 0.05). Median D-D values increased at 4 days postoperatively (963 ng/mL versus 382 ng/mL, p > 0.05) and did not vary thereafter if there was no endoleak and the aneurysm sac decreased. D-D mean values were higher in patients with type I endoleak (1931 ± 924 ng/mL, p < 0.005) and those with unchanged/increasing sac diameters (1272 ± 728 ng/mL) than in cases with decreasing diameters (median 638 ± 238 ng/mL) despite the presence of endoleak (p < 0.0005). Conclusions: Elevated D-D may prove to be a useful marker for fixation problems after endovascular AAA repair and may help rule out type I endoleak, thus excluding patients from unnecessary invasive tests.

Ischemic Skin Ulceration Complicating Glue Embolization of Type II Endoleak after Endovascular Aneurysm Repair

2011 ◽  
Vol 22 (2) ◽  
pp. 163-167 ◽  
Author(s):  
Marc A. Bailey ◽  
Simon J. McPherson ◽  
Max A. Troxler ◽  
A. Howard S. Peach ◽  
Jai V. Patel ◽  
...  
Keyword(s):  
Endovascular Aneurysm Repair ◽  
Type Ii ◽  
Type Ii Endoleak ◽  
Skin Ulceration ◽  
Glue Embolization ◽  
Aneurysm Repair

Spinal Cord Ischemia After Endovascular Embolization of a Type II Endoleak Following Endovascular Aneurysm Repair

2012 ◽  
Vol 26 (6) ◽  
pp. 860.e1-860.e7 ◽  
Author(s):  
Christos V. Ioannou ◽  
Dimitrios K. Tsetis ◽  
Dimitrios G. Kardoulas ◽  
Pavlos G. Katonis ◽  
Asterios N. Katsamouris
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Ischemia ◽  
Endovascular Aneurysm Repair ◽  
Endovascular Embolization ◽  
Type Ii ◽  
Type Ii Endoleak ◽  
Aneurysm Repair
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