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Title: Combined laparoscopic and percutaneous treatment of a type II endoleak following endovascular abdominal aortic aneurysm repair.
Authors: Karkos, CD
Hayes, PD
Lloyd, DM
Fishwick, G
White, SA
Quadar, S
Sayers, RD
First Published: Sep-2005
Citation: CARDIOVASC INTERVENT RADIOL, 2005, 28 (5), pp. 656-660
Abstract: We describe a novel approach in treating a persistent type II endoleak related to the inferior mesenteric artery (IMA) and the lower lumbar arteries. The endoleak failed to thrombose following percutaneous IMA coil embolization. We proceeded to one-stage laparoscopic IMA division and intra-sac thrombin injection under direct laparoscopic vision and fluroscopy. A CT scan at 1 and 7 months post-intervention showed no evidence of endoleak and the growth of the aneurysm was arrested. This combined laparoscopic and percutaneous approach may be a useful treatment option in the management of persistent complex type II endoleak. Its durability, however has yet to be defined.
DOI Link: 10.1007/s00270-004-0120-7
ISSN: 0174-1551
Type: Journal Article
Appears in Collections:Published Articles, Dept. of Cardiovascular Sciences

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