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Treatment of an early type II endoleak causing hemorrhage after endovascular aneurysm repair for ruptured abdominal aortic aneurysm  Olivier Hartung,

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Presentation on theme: "Treatment of an early type II endoleak causing hemorrhage after endovascular aneurysm repair for ruptured abdominal aortic aneurysm  Olivier Hartung,"— Presentation transcript:

1 Treatment of an early type II endoleak causing hemorrhage after endovascular aneurysm repair for ruptured abdominal aortic aneurysm  Olivier Hartung, MD, Vincent Vidal, MD, Ivo Marani, MD, Anthony Saran, MD, Jean Michel Bartoli, MD, Yves S. Alimi, MD, PhD  Journal of Vascular Surgery  Volume 45, Issue 5, Pages (May 2007) DOI: /j.jvs Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Ruptured abdominal aortic aneurysm (AAA) treated by emergency endovascular aneurysm repair (EVAR). A, Preoperative computed tomography (CT) scan shows an 80-mm ruptured AAA with mesenteric root hematoma and contrast leak outside the aneurysm (white arrow). B, Sagittal view of the preoperative CT scan shows contrast leak outside the aneurysm (white arrow). C, Completion angiography after acute EVAR with an aortouniiliac stent graft with ipsilateral iliac extension and contralateral iliac occluder. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Type II endoleak with increasing hematoma. A, A computed tomography (CT) scan at day 4 shows an increasing hematoma enhanced by dye injection. B, A CT scan at day 4 shows a patent inferior mesenteric artery (white arrow) and a type II endoleak (black arrow). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Treatment of type II endoleak. A, Angiography after selective catheterization of the inferior mesenteric artery through the superior mesenteric artery and the arch of Riolan shows a patent inferior mesenteric artery with a blush into the aneurysm sac. B, Completion angiography after coil embolization. C, A computed tomography scan at 3 months shows a persistent type II endoleak arising from lumbar arteries (black arrow) and coils in the inferior mesenteric artery (white arrow). D, The CT scan at 7 months shows the type II endoleak has disappeared. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

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