Plugging and sealing technique by Onyx to prevent type II endoleak in ruptured abdominal aortic aneurysm.
2013 (English)In: Vascular, ISSN 1708-5381, E-ISSN 1708-539X, Vol. 21, no 2, 87-91 p.Article in journal (Refereed) Published
Control of back bleeding from the hypogastric artery into the aneurysm after endovascular aneurysm repair (EVAR) of a ruptured aorto-iliac aneurysm may be necessary in order to avoid a type II endoleak. It is an emergency situation and selective catheterization and embolization of the hypogastric artery may be time-consuming and more importantly, it has to be performed before complete exclusion of the aneurysm has been established. We describe a plugging and sealing technique that embolizes the hypogastric artery after the exclusion of a ruptured aorto-iliac aneurysm using the embolizing agent Onyx. The mortality rate of the 16 patients treated in our institute with this technique was 25% (4/16) at 30-day and 31% (5/16) at 90-day follow up. One patient had a type II endoleak at one-year follow-up. The EVAR procedure can focus completely on controlling the acute life-threatening situation, with the embolization performed at the end of the procedure.
Place, publisher, year, edition, pages
2013. Vol. 21, no 2, 87-91 p.
IdentifiersURN: urn:nbn:se:oru:diva-56593DOI: 10.1177/1708538113478724PubMedID: 23508383OAI: oai:DiVA.org:oru-56593DiVA: diva2:1083188