Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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Percutaneous Transabdominal Approach for the Treatment of Endoleaks after Endovascular Repair of Infrarenal Abdominal Aortic Aneurysm

  • Choi, Sun-Young (Department of Radiology and Research Institute of Radiological Science, Severance Hospital, University of Yonsei, College of Medicine) ;
  • Won, Jong-Yun (Department of Radiology, Gangnam Severance Hospital, University of Yonsei, College of Medicine) ;
  • Lee, Do-Yun (Department of Radiology and Research Institute of Radiological Science, Severance Hospital, University of Yonsei, College of Medicine) ;
  • Choi, Dong-Hoon (Division of Cardiology, Yonsei Cardiovascular Center and Cardiovascular Research Institute, University of Yonsei, College of Medicine) ;
  • Shim, Won-Heum (Division of Cardiology, Yonsei Cardiovascular Center and Cardiovascular Research Institute, University of Yonsei, College of Medicine) ;
  • Lee, Kwang-Hun (Department of Radiology and Research Institute of Radiological Science, Severance Hospital, University of Yonsei, College of Medicine)
  • Received : 2009.08.06
  • Accepted : 2009.10.30
  • Published : 2010.02.01
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Abstract

Objective: The purpose of this study was to evaluate the technical feasibility and clinical efficacy of percutaneous transabdominal treatment of endoleaks after endovascular aneurysm repair. Materials and Methods: Between 2000 and 2007, six patients with type I (n = 4) or II (n = 2) endoleaks were treated by the percutaneous transabdominal approach using embolization with N-butyl cyanoacrylate with or without coils. Five patients underwent a single session and one patient had two sessions of embolization. The median time between aneurysm repair and endoleak treatment was 25.5 months (range: 0-84 months). Follow-up CT images were evaluated for changes in the size and shape of the aneurysm sac and presence or resolution of endoleaks. The median follow-up after endoleak treatment was 16.4 months (range: 0-37 months). Results: Technical success was achieved in all six patients. Clinical success was achieved in four patients with complete resolution of the endoleak confirmed by follow-up CT. Clinical failure was observed in two patients. One eventually underwent surgical conversion, and the other was lost to follow-up. There were no procedure-related complications. Conclusion: The percutaneous transabdominal approach for the treatment of type I or II endoleaks, after endovascular aneurysm repair, is an alternative method when conventional endovascular methods have failed.

Keywords

References

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