Coil embolization of intercostal arteries accessed by surgical exposure for type II endoleak after thoracic endovascular aortic repair

Many patients with type II endoleak after thoracic endovascular aortic repair (TEVAR) are closely observed without secondary intervention. Herein, we report a new technique of coil embolization for type II endoleak from intercostal arteries after TEVAR for ruptured acute type B aortic dissection. A...

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Bibliographic Details
Published in:Journal of vascular surgery 2019-07, Vol.70 (1), p.267-271
Main Authors: Karube, Norihisa, Uchida, Keiji, Cho, Tomoki, Minami, Tomoyuki, Masuda, Munetaka
Format: Article
Language:English
Subjects:
Acute aortic dissection
Aged, 80 and over
Aneurysm, Dissecting - diagnostic imaging
Aneurysm, Dissecting - surgery
Aortic Aneurysm, Thoracic - diagnostic imaging
Aortic Aneurysm, Thoracic - surgery
Aortic Rupture - diagnostic imaging
Aortic Rupture - surgery
Blood Vessel Prosthesis Implantation - adverse effects
Coil embolization
Embolization, Therapeutic - instrumentation
Endoleak
Endoleak - diagnostic imaging
Endoleak - etiology
Endoleak - therapy
Endovascular Procedures - adverse effects
Humans
Intercostal artery
Male
Thoracic endovascular aortic repair
Treatment Outcome
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Summary:Many patients with type II endoleak after thoracic endovascular aortic repair (TEVAR) are closely observed without secondary intervention. Herein, we report a new technique of coil embolization for type II endoleak from intercostal arteries after TEVAR for ruptured acute type B aortic dissection. A hybrid procedure of exposing intercostal arteries via subcostal incision in the prone position and transcatheter technique enables embolization of intercostal arteries at their origin from the aorta. This technique could avoid lung injury and be applicable in multiple intercostal arteries. This technique may be a useful secondary intervention for type II endoleak after TEVAR caused by intercostal arteries.
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2018.11.040