Embolization of a type 2 endoleak through catheterization of a hypogastric branched stent-graft
Received 24 July 2009; accepted 6 September 2009.
In contrast to internal iliac artery (IIA) occlusion, the use of branch stent-graft (BSG) has been developed as an efficient adjunct in preserving pelvic blood flow. However, the risk of post-procedural type 2 endoleak (EL) remains. We present the case of an 80-year-old man with a juxtarenal aneurysm extending to both common and IIA. The patient was treated with a fenestrated device and a left BSG after embolization of the right IIA branches. At 6 months, the persistence of a type 2 EL associated with aneurysm growth mandated EL embolization through the BSG with a good result. Technical issues are discussed.
aDepartment of Vascular and Endovascular Surgery, Cleveland Clinic, Cleveland, Ohio
bDepartment of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio
Reprint requests: Roy K. Greenberg, MD, Cleveland Clinic, Desk S40, 9500 Euclid Ave., Cleveland, OH 44195
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Supported by grants and research support from Cook Inc, WL Gore, and TeraRecon (RKG). RKG is also a Consultant for Cook Inc. and holds Intellectual Property Rights from Cook Inc.
The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a competition of interest.
ABSTRACT