Combined laparoscopic and percutaneous treatment of a type II endoleak following endovascular abdominal aortic aneurysm repair

被引：14

作者：

Karkos, CD ^{[1
]}

Hayes, PD

Lloyd, DM

Fishwick, G

White, SA

Quadar, S

Sayers, RD

机构：

[1] Leicester Royal Infirm, Dept Vasc & Endovasc Surg, Leicester LE1 5WW, Leics, England

[2] Leicester Royal Infirm, Dept Gen Surg, Leicester LE1 5WW, Leics, England

[3] Leicester Royal Infirm, Dept Radiol, Leicester LE1 5WW, Leics, England

来源：

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 2005年 / 28卷 / 05期

关键词：

abdominal aortic aneurysm; CT; endoleak; type II; inferior mesentric artery; lumbar arteries;

D O I：

10.1007/s00270-004-0120-7

中图分类号：

R5 [内科学];

学科分类号：

1002 [临床医学]; 100201 [内科学];

摘要：

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.

引用

页码：656 / 660

页数：5

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