Belczak Sergio Quilici, Pedroso Guilherme Delicato, Ogawa Lara Cote, Campos Paula Thume, Padula Andre Lopes, Machado Glenna Paulain, Dos Santos Matheus Zago Soares, Abrão Beatriz Marques
Centro Universitário São Camilo - CUSC, São Paulo, SP, Brasil.
Instituto de Aprimoramento e Pesquisa em Angiorradiologia e Cirurgia Endovascular - IAPACE, São Paulo, SP, Brasil.
J Vasc Bras. 2019 Jul 3;18:e20180130. doi: 10.1590/1677-5449.180130.
In a type 1A endoleak, the endograft is unable to fully seal the proximal aneurysm neck and blood flow leaks between the wall of the aortic neck and the graft material. This article reports a case in which coil embolization was used and presents a literature review (PubMed, LILACS, and SciELO). Searches were run for articles published in the past 5 years using the descriptors "endoleak 1A", "coil embolization," and "treatment". Type 1A endoleak occurs in 1.1% of patients within 30 days of graft placement. Treatment of an endoleak is obligatory and usually consists of sealing the proximal graft neck using stents and balloons to expand the landing zone or to increase the radial force of the graft. Some studies have suggested using embolization techniques with cyanoacrylate, fibrin glue, and Onyx, demonstrating success rates that exceed 97%. However, correction of type 1A endoleak using coil embolization has seldom been described.
在ⅠA型内漏中，腔内移植物无法完全封闭近端动脉瘤颈部，血液在主动脉颈部壁与移植物材料之间渗漏。本文报告了一例使用弹簧圈栓塞治疗的病例，并进行了文献综述（检索了PubMed、LILACS和SciELO数据库）。使用“ⅠA型内漏”“弹簧圈栓塞”和“治疗”等描述词检索了过去5年发表的文章。ⅠA型内漏在移植物置入后30天内的患者中发生率为1.1%。内漏的治疗是必要的，通常包括使用支架和球囊扩张着陆区或增加移植物的径向力来封闭近端移植物颈部。一些研究建议使用氰基丙烯酸酯、纤维蛋白胶和Onyx进行栓塞技术，成功率超过97%。然而，很少有关于使用弹簧圈栓塞纠正ⅠA型内漏的描述。
