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Onyx Embolization as Single Rescue Treatment for Ruptured Abdominal Aortic After EVAR
Örebro University, School of Medical Sciences. Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Örebro, Sweden.
Örebro University, School of Medical Sciences.
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2016 (English)In: Innovations (Philadelphia): technology and techniques in cardiothoracic and vascular surgery, ISSN 1556-9845, E-ISSN 1559-0879, Vol. 11, no 5, 370-372 p.Article in journal (Refereed) Published
Abstract [en]

A 76-year-old man who had undergone endovascular repair for an infrarenal aortic aneurysm, presented with a late type Ia endoleak 3 years after his operation. Deployment of an aortic cuff did not achieve a better seal at the proximal neck, and the aneurysm developed a rupture. We successfully treated the ruptured aneurysm using transcatheter Onyx embolization only. At 6-month and 1-year follow-ups with contrast-enhanced duplex scanning, no endoleak was seen and sac shrinkage was observed. Onyx is a relatively new liquid embolic agent that is slowly transformed into a solid state by contact with blood. Owing to this unique characteristic, Onyx embolization can be a useful technique for stopping bleeding from an aneurysm in an emergency situation. This is a unique case of the use of an embolization agent in the treatment of aortic aneurysm rupture.

Place, publisher, year, edition, pages
Philadelphia, USA: Lippincott Williams & Wilkins, 2016. Vol. 11, no 5, 370-372 p.
Keyword [en]
Abdominal aortic aneurysm, Rupture, Endovascular, Embolization, Onyx
National Category
Surgery
Research subject
Surgery
Identifiers
URN: urn:nbn:se:oru:diva-53492DOI: 10.1097/IMI.0000000000000303ISI: 000388943200012PubMedID: 27828804Scopus ID: 2-s2.0-84994618655OAI: oai:DiVA.org:oru-53492DiVA: diva2:1050290
Available from: 2016-11-28 Created: 2016-11-14 Last updated: 2017-10-18Bibliographically approved

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CiteExportLink to record
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