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CardioVascular and Interventional Radiology

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01-02-2013 | Case Report

Ruptured Aortic Aneurysm From Late Type II Endoleak Treated by Transarterial Embolization

Authors: Senthil Gunasekaran, Brian Funaki, Jonathan Lorenz

Published in: CardioVascular and Interventional Radiology | Issue 1/2013

Abstract

Endoleak is the most common complication after endovascular aneurysm repair. The most common type of endoleak, a type II endoleak, typically follows a benign course and is only treated when associated with increasing aneurysm size. In this case report, we describe a ruptured abdominal aortic aneurysm due to a late, type II endoleak occurring 10 years after endovascular aneurysm repair that was successfully treated by transarterial embolization.

Dillavou ED, Muluk SC, Makaroun MS (2005) Improving aneurysm-related outcomes: nationwide benefits of endovascular repair. J Vasc Surg 43:446–452CrossRef

van Marrewijk CJ, Fransen G, Laheij RJ et al (2004) Is a type II endoleak after EVAR a harbinger of risk? Causes and outcome of open conversion and aneurysm rupture during follow-up. Eur J Vasc Endovasc Surg 27:128–137PubMedCrossRef

van Marrewijk CJ, Buth J, Harris PL et al (2002) Significance of endoleaks after endovascular repair of abdominal aortic aneurysms: The EUROSTAR experience. J Vasc Surg 35:461–473PubMedCrossRef

Jones JE, Atkins MD, Brewster DC et al (2007) Persistent type 2 endoleak after endovascular repair of abdominal aortic aneurysm is associated with adverse late outcomes. J Vasc Surg 46:1–8PubMedCrossRef

Tolia AJ, Landis R, Lamparello P et al (2005) Type II endoleaks after endovascular repair of abdominal aortic aneurysms: natural history. Radiology 235:683–686PubMedCrossRef

Harris PL, Vallabhaneni SR, Desgranges P et al (2000) Incidence and risk factors of late rupture, conversion, and death after endovascular repair of infrarenal aortic aneurysms: the EUROSTAR experience. J Vasc Surg 32:739–749PubMedCrossRef

Hinchliffe RJ, Singh-Ranger R, Davidson IR et al (2001) Rupture of an abdominal aortic aneurysm secondary to type II endoleak. Eur J Vasc Endovasc Surg 22:563–565PubMedCrossRef

Politz JK, Newman VS, Stewart MT (2000) Late abdominal aortic aneurysm rupture after AneuRx repair: a report of three cases. J Vasc Surg 31:599–606PubMedCrossRef

Timaran CH, Ohki T, Rhee SJ et al (2004) Predicting aneurysm enlargement in patients with persistent type II endoleaks. J Vasc Surg 39:1157–1162PubMedCrossRef

10.

Frasen GA, Vallabhaneni SR, van Marrewijk CJ et al (2003) Rupture of infra-renal aortic aneurysm after endovascular repair: a series from EUROSTAR registry. Eur J Vasc Endovasc Surg 26:293–487CrossRef

11.

Nevala T, Biancari F, Manninen H et al (2010) Type II endoleak after endovascular repair of abdominal aortic aneurysm: effectiveness of embolization. Cardiovasc Intervent Radiol 33:278–284PubMedCrossRef

12.

Kasirajan K, Matteson B, Marek JM et al (2003) Technique and results of transfemoral superselective coil embolization of type II lumbar endoleak. J Vasc Surg 38:61–66PubMedCrossRef

13.

Sheehan MK, Barbato J, Compton CN et al (2004) Effectiveness of coiling in the treatment of endoleaks after endovascular repair. J Vasc Surg 40:430–434PubMedCrossRef

14.

Baum RA, Carpenter JP, Tuite CM et al (2000) Diagnosis and treatment of inferior mesenteric arterial endoleaks after endovascular repair of abdominal aortic aneurysms. Radiology 215:409–413PubMed

15.

Chuter TA, Faruqi RM, Sawhney R et al (2001) Endoleak after endovascular repair of abdominal aortic aneurysm. J Vasc Surg 34:98–105PubMedCrossRef

16.

Solis MM, Ayerdi J, Babcock GA et al (2002) Mechanism of failure in the treatment of type II endoleak with percutaneous coil embolization. J Vasc Surg 36:485–491PubMedCrossRef

17.

Wieners G, Meyer F, Halloul Z et al (2010) Detection of type II endoleak after endovascular aortic repair: comparison between magnetic resonance angiography and blood-pool contrast agent and dual-phase computed tomography angiography. Cardiovasc Intervent Radiol 33:1135–1142PubMedCrossRef

Title: Ruptured Aortic Aneurysm From Late Type II Endoleak Treated by Transarterial Embolization
Authors: Senthil Gunasekaran
Brian Funaki
Jonathan Lorenz
Publication date: 01-02-2013
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 1/2013
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-012-0381-5

At a glance: The STEP trials

Springer Medicine

Ruptured Aortic Aneurysm From Late Type II Endoleak Treated by Transarterial Embolization

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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