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Percutaneous Transabdominal Approach for the Treatment of Endoleaks after Endovascular Repair of Infrarenal Abdominal Aortic Aneurysm

 Sun Young Choi  ;  Jong Yun Won  ;  Do Yun Lee  ;  Donghoon Choi  ;  Won-Heum Shim  ;  Kwang-Hun Lee 
 KOREAN JOURNAL OF RADIOLOGY, Vol.11(1) : 107-114, 2010 
Journal Title
Issue Date
Aged ; Aged, 80 and over ; Aortic Aneurysm, Abdominal/surgery* ; Blood Vessel Prosthesis Implantation* ; Embolization, Therapeutic/methods* ; Enbucrilate/administration & dosage* ; Female ; Humans ; Male ; Middle Aged ; Postoperative Complications/therapy* ; Punctures ; Stents*
Abdominal aortic aneurysm ; Embolization ; Endoleak ; Endovascular aneurysm repair ; N-butyl cyanoacrylat
OBJECTIVE: The purpose of this study was to evaluate the technical feasibility and clinical efficacy of percutaneous transabdominal treatment of endoleaks after endovascular aneurysm repair. MATERIALS AND METHODS: Between 2000 and 2007, six patients with type I (n = 4) or II (n = 2) endoleaks were treated by the percutaneous transabdominal approach using embolization with N-butyl cyanoacrylate with or without coils. Five patients underwent a single session and one patient had two sessions of embolization. The median time between aneurysm repair and endoleak treatment was 25.5 months (range: 0-84 months). Follow-up CT images were evaluated for changes in the size and shape of the aneurysm sac and presence or resolution of endoleaks. The median follow-up after endoleak treatment was 16.4 months (range: 0-37 months) RESULTS: Technical success was achieved in all six patients. Clinical success was achieved in four patients with complete resolution of the endoleak confirmed by follow-up CT. Clinical failure was observed in two patients. One eventually underwent surgical conversion, and the other was lost to follow-up. There were no procedure-related complications. CONCLUSION: The percutaneous transabdominal approach for the treatment of type I or II endoleaks, after endovascular aneurysm repair, is an alternative method when conventional endovascular methods have failed
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1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Shim, Won Heum(심원흠)
Won, Jong Yun(원종윤) ORCID logo https://orcid.org/0000-0002-8237-5628
Lee, Kwang Hun(이광훈)
Lee, Do Yun(이도연)
Choi, Dong Hoon(최동훈) ORCID logo https://orcid.org/0000-0002-2009-9760
Choi, Sun Young(최선영)
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