Published in:
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
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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.