Percutaneous Retrograde Trans-Gluteal Embolization of Type 2 Endoleak Causing Iliac Aneurysm Enlargement after Endovascular Repair: Case Report and Literature Review

被引:0
作者
Esposito, Andrea [1 ]
Pasqua, Rocco [1 ,2 ]
Menna, Danilo [1 ]
Giordano, Antonio Nicola [1 ]
Illuminati, Giulio [2 ]
D'Andrea, Vito [2 ]
机构
[1] San Carlo Hosp, Cardiovasc Dept, Vasc & Endovasc Surg Div, I-85100 Potenza, Italy
[2] Sapienza Univ Rome, Dept Surg, I-00185 Rome, Italy
关键词
endoleak; internal iliac artery; endovascular aortic repair; endovascular technique; superior gluteal artery; embolization; ARTERY ANEURYSMS; ACCESS; PUNCTURE;
D O I
10.3390/jcm13102909
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Late type II endoleaks (T2ELs) arising from the internal iliac artery (IIA) may present during follow-up after endovascular aortic repair (EVAR) of aortoiliac aneurysm and may warrant embolization if enlargement of the aneurysmal sac is demonstrated. When coverage of the IIA ostium has been made due to extensive iliac disease, access options can be challenging. Different treatment options have been reported over recent years, and a careful selection of the best one must be made based on the characteristics of each case. The present study reports a simple and reproducible sheathless percutaneous superior gluteal artery (SGA) access and provides a discussion based on a review of the existing literature on this topic.
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页数:10
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