Successful treatment of a patient with a ‘flow-through’ type II endoleak associated with an aberrant renal artery after endovascular aneurysm repair

Author:

Sano Masaya12ORCID,Hashimoto Takuya12,Saito Mio32,Kimura Masaru12ORCID,Miyazaki Masaya32,Deguchi Juno12

Affiliation:

1. Department of Vascular Surgery , Saitama Medical Center, , Saitama , Japan

2. Saitama Medical University , Saitama Medical Center, , Saitama , Japan

3. Department of Radiology , Saitama Medical Center, , Saitama , Japan

Abstract

AbstractIdentification and control of responsible feeding arteries are crucial in treating type II endoleaks after endovascular aortic repair (EVAR). A 78-year-old female patient required management of a type II endoleak 8 years after EVAR. A persistent endoleak from the inferior mesenteric artery (IMA) enlarged the size of an aneurysm sac. Sac angiography from the IMA revealed a flow-through endoleak from the IMA to an aberrant renal artery (ARA). After coil embolization of the ARA through the sac together with the IMA, the sac shrank. Control of flow-through vessels may be essential for managing post-EVAR enlargement due to type II endoleaks.

Publisher

Oxford University Press (OUP)

Subject

Surgery

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