Concomitant Coil Embolization for Gutter Leak during Endovascular Aortic Repair with the Snorkel Technique.

Abstract

Snorkel endovascular aortic repair (SEVAR) is reported to be effective for the treatment of pararenal or juxtarenal aortic aneurysms. SEVAR can be performed with an off-the-self device, which is applied for emergency cases. However, there is a concern that SEVAR lead to gutter leak due to insertion of multiple stents. Previously, we performed 2-staged treatment for gutter leak after SEVAR. However, the gutter leaks can also occur late, and it is often difficult to close. Therefore, if a significant gutter leak is identified intraoperatively, performing concomitant gutter coil embolization at the time of the initial surgery may be reasonable.

• Authors: Koji Maeda, Takao Ohki, Yuji Kanaoka, Takeshi Baba, Masahiro Tezuka, Hikaru Nakagawa
• Journal: Annals of vascular surgery (Ann Vasc Surg) Vol. 45 Pg. 265.e13-265.e16 (Nov 2017) ISSN: 1615-5947 [Electronic] Netherlands
• PMID: 28688876 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2017 Elsevier Inc. All rights reserved.

Topics

• Aged, 80 and over
• Aortic Aneurysm, Abdominal (diagnostic imaging, surgery)
• Aortography (methods)
• Blood Vessel Prosthesis
• Blood Vessel Prosthesis Implantation (adverse effects, instrumentation, methods)
• Computed Tomography Angiography
• Embolization, Therapeutic
• Endoleak (diagnostic imaging, etiology, therapy)
• Endovascular Procedures (adverse effects, instrumentation, methods)
• Female
• Humans
• Male
• Middle Aged
• Prosthesis Design
• Stents
• Treatment Outcome