Percutaneous Retrograde Trans-Gluteal Embolization of Type 2 Endoleak Causing Iliac Aneurysm Enlargement after Endovascular Repair: Case Report and Literature Review

Author:

Esposito Andrea1,Pasqua Rocco12ORCID,Menna Danilo1ORCID,Giordano Antonio Nicola1,Illuminati Giulio2,D’Andrea Vito2ORCID

Affiliation:

1. Vascular and Endovascular Surgery Division, Cardiovascular Department, San Carlo Hospital, 85100 Potenza, Italy

2. Department of Surgery, Sapienza University of Rome, 00185 Rome, Italy

Abstract

Late type II endoleaks (T2ELs) arising from the internal iliac artery (IIA) may present during follow-up after endovascular aortic repair (EVAR) of aortoiliac aneurysm and may warrant embolization if enlargement of the aneurysmal sac is demonstrated. When coverage of the IIA ostium has been made due to extensive iliac disease, access options can be challenging. Different treatment options have been reported over recent years, and a careful selection of the best one must be made based on the characteristics of each case. The present study reports a simple and reproducible sheathless percutaneous superior gluteal artery (SGA) access and provides a discussion based on a review of the existing literature on this topic.

Publisher

MDPI AG

Reference31 articles.

1. Risk factors and consequences of persistent type II endoleaks;Lo;J. Vasc. Surg.,2016

2. Internal Iliac Artery Aneurysm Ruptures with No Visualized Endoleak 2 Years after Endovascular Repair;Harada;Ann. Vasc. Dis.,2022

3. Endovascular Treatment Versus Open Surgery for Isolated Iliac Artery Aneurysms: A Systematic Review and Meta-Analysis;Xiang;Vasc. Endovascular Surg.,2019

4. Enlarging aneurysm sac post EVAR—Type V or occult type II Endoleak?;Patel;CVIR Endovasc.,2023

5. Novel Treatment of an Enlarging Internal Iliac Artery Aneurysm in Association with a Type 2 Endoleak via Percutaneous Embolisation of the Superior Gluteal Artery through a Posterior Approach;Rogan;Case Rep. Vasc. Med.,2013

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