scholarly journals Is a Type II Endoleak after EVAR a Harbinger of Risk? Causes and Outcome of Open Conversion and Aneurysm Rupture during Follow-up

2004 ◽  
Vol 27 (2) ◽  
pp. 128-137 ◽  
Author(s):  
C.J van Marrewijk ◽  
G Fransen ◽  
R.J.F Laheij ◽  
P.L Harris ◽  
J Buth ◽  
...  
Keyword(s):  
Aneurysm Rupture ◽  
Type Ii ◽  
Type Ii Endoleak ◽  
Open Conversion

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 Treatment of type II endoleak with a transcatheter transcaval approach: Results at 1-year follow-up

2007 ◽  
Vol 45 (6) ◽  
pp. 1120-1127 ◽  
Author(s):  
Giancarlo Mansueto ◽  
Daniela Cenzi ◽  
Alberto Scuro ◽  
Leonardo Gottin ◽  
Andrea Griso ◽  
...  
Keyword(s):  
Type Ii ◽  
Type Ii Endoleak

A Late Post-EVAR Rupture in a 102-Year-Old Patient Related to a Type II Endoleak

2020 ◽  
Vol 54 (8) ◽  
pp. 729-733
Author(s):  
Mauricio Gonzalez-Urquijo ◽  
Michel M. P. J. Reijnen ◽  
Gerardo Lozano-Balderas ◽  
Mario Alejandro Fabiani
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Elderly Population ◽  
Chronic Obstructive ◽  
Type Ii ◽  
Current Case ◽  
Type Ii Endoleak ◽  
Abdominal Aortic ◽  
Population Type

Purpose: Endovascular abdominal aortic aneurysm repair (EVAR) is progressively being applied in the elderly population. Type II endoleaks are common and mostly benign, but they are related to more aneurysm sac expansion after EVAR. They may lead to rupture in <1% of cases. We present a case of a centenarian with a post-EVAR rupture, related to type II endoleak, and discuss the use of EVAR on the management of this type of endoleak in an extremely old patient. Case Presentation: A 102-year-old man with a history of EVAR 12 years earlier, presented to the emergency department with a drop of consciousness. A computed tomography revealed a ruptured abdominal aortic aneurysm. Angiography showed a type II endoleak related to patent lumbar arteries deriving from collateral branches of the right internal iliac artery. Embolization was not successful and subsequently the ostium of the iliolumbar artery was overstented, obliterating the feeding branch. The postoperative course was complicated by a deterioration of chronic obstructive pulmonary disease and patient was discharged home on the seventh postprocedural day; nonetheless, he died on postoperative day sixteenth due to respiratory complications. Conclusion: Complications following EVAR are a real threat and emphasize the need for follow-up. The current case report shows that age per se should not be a contraindication for EVAR nor for follow-up. Also, late ruptures due to type II endoleaks could be treated in the very elderly population although larger series are required for robust conclusions.

Internal iliac coverage during endovascular repair of abdominal aortic aneurysms is a safe option: A preliminary study

Vascular ◽  
2016 ◽  
Vol 25 (1) ◽  
pp. 28-35 ◽  
Author(s):  
Vinay Kansal ◽  
Prasad Jetty ◽  
Dalibor Kubelik ◽  
George Hajjar ◽  
Andrew Hill ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Endovascular Aneurysm Repair ◽  
External Iliac Artery ◽  
Aortic Aneurysms ◽  
Type Ii ◽  
Type Ii Endoleak ◽  
Internal Iliac

Endovascular aneurysm repairs lacking suitable common iliac artery landing zones occasionally require graft limb extension into the external iliac artery, covering the internal iliac artery origin. The purpose of this study was to assess incidence of type II endoleak following simple coverage of internal iliac artery without embolization during endovascular aneurysm repair. Three hundred eighty-nine endovascular aneurysm repairs performed by a single surgeon (2004–2015) were reviewed. Twenty-seven patients underwent simple internal iliac artery coverage. Type II endoleak was assessed from operative reports and follow-up computed tomography imaging. No patient suffered type II endoleak from a covered internal iliac artery in post-operative computed tomography scans. Follow-up ranged from 0.5 to 9 years. No severe pelvic ischemic complications were observed. In conclusion, for selected cases internal iliac artery coverage without embolization is a safe alternative to embolization in endovascular aneurysm repairs, where the graft must be extended into the external iliac artery.

Early experience with the new endovascular aneurysm sealing system Nellix: First clinical results after 50 implantations

Vascular ◽  
2016 ◽  
Vol 24 (4) ◽  
pp. 339-347 ◽  
Author(s):  
Sebastian Zerwes ◽  
Zmarai Nurzai ◽  
Giesbert Leissner ◽  
Thomas Kroencke ◽  
Hans-Kees Bruijnen ◽  
...  
Keyword(s):  
Clinical Results ◽  
Aneurysm Rupture ◽  
Type Ii ◽  
Technical Success ◽  
Secondary Intervention ◽  
System A ◽  
Contrast Enhanced ◽  
Single Center Study ◽  
Endoleak Type Ii

Objective In the present study, 50 EVAS procedures were evaluated in regard to primary (survival and technical success) and secondary (device-related complications) events of interest. Methods The single center study was conducted from July 2013 to August 2014 with prospective collection of the clinical data. The clinical results were controlled by CT angiography and contrast-enhanced ultrasound . Results The technical success was 98% and the 30-day mortality 4%. One (2%) patient died from multisystem organ failure and another patient from an intracranial bleeding, respectively. One patient (2%) suffered from a device-related aneurysm rupture. During early follow-up, one (2%) patient developed an endoleak type II, while three (6%) patients suffered from a partial endograft limb thrombosis. Overall, a secondary intervention was necessary in six (12%) patients. Conclusions With the Nellix EVAS system, a high primary technical success of 98% was achieved; one (2%) patient developed an endoleak type II which did not require secondary intervention. Those promising results are contrasted by a substantial rate of endograft limb thromboses (8%) and one (2%) intraoperative aneurysm rupture. Further studies are needed to assess the durability of the Nellix stentgraft and the occurrence of device-related complications.

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