A novel approach to the management of a ruptured Type II endoleak following endovascular repair of an internal iliac artery aneurysm
- 1 December 2011
- journal article
- case report
- Published by Oxford University Press (OUP) in The British Journal of Radiology
- Vol. 84 (1008), e240-e242
- https://doi.org/10.1259/bjr/42137038
Abstract
Endovascular repair of isolated iliac artery aneurysms is an established safe and effective management option. Type II endoleak is a potential complication, but rarely results in significant morbidity or mortality. We report a case of a patient who presented with a ruptured internal iliac artery aneurysm secondary to a Type II endoleak. To our knowledge this and the following method of managing this have not been previously reported. Established methods of managing endoleaks, such as intravascular transfemoral embolisation and open or laparoscopic ligation, were not possible. Therefore, we resorted to a novel approach to this type of aneurysm and successfully performed a transcutaneous direct puncture and embolisation of the superior gluteal artery.This publication has 19 references indexed in Scilit:
- Percutaneous Transosseous Embolization of Internal Iliac Artery Aneurysm Type II Endoleak: Report of Two CasesCardioVascular and Interventional Radiology, 2010
- Endoleak after endovascular aneurysm repair: Duplex ultrasound imaging is better than computed tomography at determining the need for interventionJournal of Vascular Surgery, 2009
- The care of patients with an abdominal aortic aneurysm: The Society for Vascular Surgery practice guidelinesJournal of Vascular Surgery, 2009
- Type II Endoleaks:When Is Intervention Indicated and What Is the Index of Suspicion for Types I or III?Journal of Endovascular Therapy, 2009
- Endovascular Treatment of Ruptured Iliac Aneurysm Previously Treated by Endovascular MeansCardioVascular and Interventional Radiology, 2006
- Type II endoleak after endovascular abdominal aortic aneurysm repair: a conservative approach with selective intervention is safe and cost-effectiveJournal of Vascular Surgery, 2004
- Retroperitoneal endoscopic ligation of lumbar and inferior mesenteric arteries as a treatment of persistent endoleak after endoluminal aortic aneurysm repairJournal of Vascular Surgery, 2000
- Ultrasound measurement of the luminal diameter of the abdominal aorta and iliac arteries in patients without vascular diseaseJournal of Vascular Surgery, 1993
- Isolated iliac aneurysmsEuropean Journal of Vascular Surgery, 1991
- Solitary aneurysms of the iliac arterial system: An estimate of their frequency of occurrenceJournal of Vascular Surgery, 1989