A Case of Successful Coil Embolization for a Late-Onset Type Ia Endoleak after Endovascular Aneurysm Repair with the Chimney TechniqueReport as inadecuate




A Case of Successful Coil Embolization for a Late-Onset Type Ia Endoleak after Endovascular Aneurysm Repair with the Chimney Technique - Download this document for free, or read online. Document in PDF available to download.

Case Reports in Vascular Medicine - Volume 2016 2016, Article ID 5307416, 4 pages -

Case ReportDivision of Vascular and Endovascular Surgery, Department of Surgery, Tokyo Medical and Dental University, Tokyo, Japan

Received 11 April 2016; Accepted 16 August 2016

Academic Editor: Muzaffer Sindel

Copyright © 2016 Kimihiro Igari et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Juxtarenal aortic aneurysms JRAAs are challenging to treat by endovascular aneurysm repair EVAR procedures. The chimney technique with EVAR Ch-EVAR is one of the feasible and less invasive treatments for JRAAs. However, the main concern of Ch-EVAR is the potential risk of -gutters,- which can lead to type Ia endoleak EL. Most type Ia ELs after Ch-EVAR procedures occurred intraoperatively, and these ELs could be treated using an endovascular technique. However, late-onset type Ia ELs could be extremely rare, which might have a fear of conservative treatment. Type Ia ELs are associated with an increased risk of aneurysm rupture; therefore reintervention is recommended as soon as possible, and we should be aware of the occurrence of type Ia ELs after the Ch-EVAR procedure.





Author: Kimihiro Igari, Toshifumi Kudo, Takahiro Toyofuku, and Yoshinori Inoue

Source: https://www.hindawi.com/



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