Steadman Jessica A, Moynagh Michael R, Oderich Gustavo S, Mendes Bernardo C
Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN.
Department of Radiology, Mayo Clinic, Rochester, MN.
J Vasc Surg Cases Innov Tech. 2022 Mar 11;8(2):232-236. doi: 10.1016/j.jvscit.2022.03.002. eCollection 2022 Jun.
After endovascular aneurysm repair, type II endoleaks are encountered frequently, and warrant intervention when associated with aneurysmal sac expansion. Thus, the contemporary vascular surgeon must be able to manage them. The presented case illustrates our approach to percutaneous translumbar selective coil embolization of individual lumbar arteries feeding the type IIb endoleak. The use of specific imaging systems allows for needle track guidance to access the endoleak pocket. Treatment of the feeding vessels with detachable coils can be achieved with a direct route via the translumbar sheath. The benefits of this approach include avoidance of graft puncture, targeted therapy, and low puncture-related complications.
在血管内动脉瘤修复术后，II型内漏经常出现，当与动脉瘤囊扩张相关时需要进行干预。因此，当代血管外科医生必须能够处理它们。本病例展示了我们对经皮经腰选择性线圈栓塞供应IIb型内漏的各条腰动脉的方法。使用特定的成像系统可实现针道引导以进入内漏腔。通过经腰鞘管的直接路径，可用可脱卸线圈治疗供血血管。这种方法的优点包括避免移植物穿刺、靶向治疗以及与穿刺相关的并发症发生率低。
