scholarly journals Off Label Use of StarClose for Superior Gluteal Artery Puncture Closure Following Embolisation of an Internal Iliac Artery Type II Endoleak

Author(s):  
Evan Norris ◽  
Brian Bronzo ◽  
Olufoladare Olorunsola
Author(s):  
Antonio Bozzani ◽  
Vittorio Arici ◽  
Mila Maria Franciscone ◽  
Vittorio Danesino ◽  
Monica Rota ◽  
...  

2017 ◽  
Vol 51 (1) ◽  
pp. 47-50 ◽  
Author(s):  
Ming-Yi Hsu ◽  
Ta-Wei Su ◽  
I-Hao Su ◽  
Po-Jen Ko ◽  
Sung-Yu Chu

Inadvertent coverage of origin of internal iliac artery (IIA) during endovascular aneurysm repair may lead to type II endoleak. Except for open surgery, the endovascular solution is limited. We report a case with such complication that was successfully treated with coil embolization using retrograde extrastent approach. This is a new technique that has not been reported before, and as such, had been useful in the treatment of type II endoleak from IIA as an alternative to open ligation of IIA origin.


Vascular ◽  
2016 ◽  
Vol 25 (1) ◽  
pp. 28-35 ◽  
Author(s):  
Vinay Kansal ◽  
Prasad Jetty ◽  
Dalibor Kubelik ◽  
George Hajjar ◽  
Andrew Hill ◽  
...  

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.


2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Paul Ghaly ◽  
Glen Schlaphoff ◽  
Jim Iliopoulos ◽  
Mehtab Ahmad

Abstract Internal iliac artery aneurysms (IIAA) can be associated with abdominal aortic aneurysms. We describe a technique of successful transarterial embolization using a mixture of Onyx™ formulations in a 72-year-old with previous open and endovascular aneurysm repairs of his abdominal aorta and a residual large left IIAA causing a Type II endoleak. We demonstrate that utilization of the deep circumflex iliac artery is a safe and viable alternate route to treating IIAA when direct access is not achievable.


2014 ◽  
Vol 99 (5) ◽  
pp. 681-683 ◽  
Author(s):  
Junjie Zou ◽  
Yueming Sun ◽  
Hongyu Yang ◽  
Hao Ma ◽  
Jun Jiang ◽  
...  

Abstract We present a case undergoing successful laparoscopic ligation of the inferior mesenteric artery (IMA) and internal iliac artery (IIA) for the treatment of a symptomatic type II endoleak (T2E) after endovascular aneurysm repair (EVAR). The patient presented with abdominal and back pain 1 year after EVAR. Subsequent enhanced computed tomography scan showed aneurysm sac enlargement from 60 mm to 70 mm, and digital substraction angiography revealed a T2E caused by patent IMA and right IIA. Then the patient underwent successful laparoscopic ligation of the IMA and right IIA. Postprocedural angiogram demonstrated complete resolution of the type II endoleak, and no intraoperative complications occurred. Also, there was no remaining abdominal pain or back pain after the operation.


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