Hsu Ming-Yi, Su Ta-Wei, Su I-Hao, Ko Po-Jen, Chu Sung-Yu
1 Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital at Linkou, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
2 Department of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital at Linkou, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Vasc Endovascular Surg. 2017 Jan;51(1):47-50. doi: 10.1177/1538574416687736.
Inadvertent coverage of origin of internal iliac artery (IIA) during endovascular aneurysm repair may lead to type II endoleak. Except for open surgery, the endovascular solution is limited. We report a case with such complication that was successfully treated with coil embolization using retrograde extrastent approach. This is a new technique that has not been reported before, and as such, had been useful in the treatment of type II endoleak from IIA as an alternative to open ligation of IIA origin.
在血管内动脉瘤修复术中，不经意间覆盖髂内动脉（IIA）起源处可能导致II型内漏。除了开放手术外，血管内治疗方法有限。我们报告了一例此类并发症患者，通过逆行支架外途径进行弹簧圈栓塞成功治疗。这是一种此前未被报道过的新技术，因此，它在治疗来自IIA的II型内漏方面很有用，可作为开放结扎IIA起源处的替代方法。
