Use of glue and microcoils for transarterial catheter embolization of a type 1 endoleak

Diagn Interv Radiol. 2008 Jun;14(2):111-5.

Abstract

We present a unique case of abdominal aortic aneurysm initially presenting with inferior vena cava compression leading to deep venous thrombosis, for which the patient subsequently underwent an endovascular aortic repair. Aorto-uni-iliac endografting was performed for subacute occlusion of left common iliac artery complicated by proximal type 1 endoleak. Subsequent management of the endoleak was successful, using a liquid embolic agent (cyanoacrylate) by transarterial approach. Transarterial catheter embolization with glue and coils is a feasible technique for high flow type 1 endoleaks. Glue injection carries the risk of non-target embolization, and thus this option should be reserved for experienced hands.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aortic Aneurysm, Abdominal / surgery*
  • Blood Vessel Prosthesis Implantation
  • Cyanoacrylates / therapeutic use*
  • Embolization, Therapeutic / methods*
  • Humans
  • Iliac Aneurysm / surgery
  • Iliac Artery / surgery
  • Male
  • Postoperative Complications
  • Treatment Outcome
  • Venous Thrombosis / surgery*

Substances

  • Cyanoacrylates