scholarly journals Ischemic colitis after endovascular abdominal aneurysm repair in a patient with bilaterally patent internal iliac arteries: a case report

2017 ◽  
Vol 25 (2) ◽  
pp. 290-293
Author(s):  
Kim Do Yeon
Keyword(s):  
Case Report ◽  
Ischemic Colitis ◽  
Abdominal Aneurysm ◽  
Iliac Arteries ◽  
Internal Iliac ◽  
Aneurysm Repair ◽  
Internal Iliac Arteries

scholarly journals Complicated embolisation of late endoleak via direct sac puncture: not all endoleaks are a type II endoleak

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Aizat Drahman ◽  
Diederick Willem De Boo ◽  
Barry Springthorpe ◽  
Arvind Deshpande
Keyword(s):  
Case Report ◽  
Aortic Aneurysm ◽  
Main Body ◽  
Iliac Arteries ◽  
Abdominal Aortic ◽  
Internal Iliac ◽  
Multi Phase ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair

Abstract Background Endoleaks after endovascular aortic aneurysm repair (EVAR) occur frequently with type 2 being the most common. Treatment of type 2 endoleaks is indicated if the aneurysmal sac increases in size. Case report In this case report, we will discuss a patient who presented with aneurysmal sac size increase 11 years after undergoing EVAR for an asymptomatic abdominal aortic aneurysm which extended into the iliac arteries. Multi-phase CT demonstrated an endoleak with features commonly seen in type 2 endoleaks; pooling of contrast near a lumbar artery orifice on the angiographic phase which increases during the delayed phase. Both internal iliac arteries were sacrificed during the initial EVAR. Percutaneous direct sac puncture was therefor performed and angiogram during the procedure revealed no feeding or draining lumbar arteries. During attempts to embolize the perfused part of the aneurysmal sac non-target embolization into the main body of the graft occurred and the presence of type 3b endoleak was confirmed. The non-target embolization did not result in permanent sequelae. Conclusions Type 3b endoleaks are rare and can mimic type 2 endoleaks, which can cause serious complications if not identified properly. Rapid increase in aneurysmal sac size is uncommonly seen in type 2 endoleaks and if present needs to trigger further diagnostic investigations.

Sign in / Sign up

Export Citation Format

Share Document