Onyx Embolization as Single Rescue Treatment for Ruptured Abdominal Aortic After EVAR
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
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.
Abdominal aortic aneurysm, Rupture, Endovascular, Embolization, Onyx
Research subject Surgery
IdentifiersURN: urn:nbn:se:oru:diva-53492DOI: 10.1097/IMI.0000000000000303ISI: 000388943200012PubMedID: 27828804ScopusID: 2-s2.0-84994618655OAI: oai:DiVA.org:oru-53492DiVA: diva2:1050290