Laparoscopic lumbar artery ligation of type II endoleaks following endovascular aneurysm repair: A case report.

Abstract

INTRODUCTION:

Although the clinical significance of type II endoleaks remain controversial, management strategies continue to expand. The laparoscopic approach is a minimally invasive method for persistent type II endoleak repair after endovascular aneurysm repair.

PATIENT CONCERNS:

A 70 - year - old male patient with a history of endovascular aneurysm repair with left internal iliac artery embolization presented with persistent type II endoleak from the lumbar arteries 2 years ago. The aneurysm sac size had increased more than 10 mm during follow up period.

DIAGNOSIS:

Persistent type II endoleak after endovascular aneurysm repair.

INTERVENTIONS:

Transarterial embolization was attempted and failed. A minimally invasive laparoscopic lumbar artery ligation was then utilized.

OUTCOMES:

The patient was discharged without any complications after surgery. Follow-up computed tomography angiography has shown the complete disappearance of the type II endoleaks.

CONCLUSIONS:

Laparoscopic lumbar artery ligation may be a safe and effective alternative treatment for type II endoleaks, especially in high resource settings.

• Authors: Byeoung Hoon Chung, Hee Chul Yu, Jae Do Yang, Mi Rin Lee, Min Ro Lee, Hong Pil Hwang
• Journal: Medicine (Medicine (Baltimore)) Vol. 100 Issue 18 Pg. e25732 (May 07 2021) ISSN: 1536-5964 [Electronic] United States
• PMID: 33950956 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

Topics

• Aged
• Aortic Aneurysm, Abdominal (surgery)
• Computed Tomography Angiography
• Endoleak (diagnosis, etiology, surgery)
• Endovascular Procedures (adverse effects)
• Humans
• Laparoscopy
• Ligation (methods)
• Male
• Treatment Outcome