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Published in: CardioVascular and Interventional Radiology 5/2005

01-06-2005 | Case Reports

Combined Laparoscopic and Percutaneous Treatment of a Type II Endoleak Following Endovascular Abdominal Aortic Aneurysm Repair

Authors: Christos D. Karkos, Paul D. Hayes, David M. Lloyd, Guy Fishwick, Steve A. White, Salman Quadar, Robert D. Sayers

Published in: CardioVascular and Interventional Radiology | Issue 5/2005

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Abstract

We describe a novel approach in treating a persistent type II endoleak related to the inferior mesenteric artery (IMA) and the lower lumbar arteries. The endoleak failed to thrombose following percutaneous IMA coil embolization. We proceeded to one-stage laparoscopic IMA division and intra-sac thrombin injection under direct laparoscopic vision and fluroscopy. A CT scan at 1 and 7 months post-intervention showed no evidence of endoleak and the growth of the aneurysm was arrested. This combined laparoscopic and percutaneous approach may be a useful treatment option in the management of persistent complex type II endoleak. Its durability, however has yet to be defined.
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Metadata
Title
Combined Laparoscopic and Percutaneous Treatment of a Type II Endoleak Following Endovascular Abdominal Aortic Aneurysm Repair
Authors
Christos D. Karkos
Paul D. Hayes
David M. Lloyd
Guy Fishwick
Steve A. White
Salman Quadar
Robert D. Sayers
Publication date
01-06-2005
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 5/2005
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-004-0120-7

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