Transgraft embolization by using long needle for the treatment of type II endoleaks after endovascular abdominal aortic repair

Hitoshi Matsumura, MD; Hideichi Wada, MD, PhD; Hiromitsu Teratani, MD; Mau Amako, MD, PhD; Yoshio Hayashida, MD; Noritoshi Minematsu, MD

Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2020)

Transgraft embolization by using long needle for the treatment of type II endoleaks after endovascular abdominal aortic repair

Hitoshi Matsumura, MD,
Hideichi Wada, MD, PhD,
Hiromitsu Teratani, MD,
Mau Amako, MD, PhD,
Yoshio Hayashida, MD,
Noritoshi Minematsu, MD

Affiliations

Hitoshi Matsumura, MD: Correspondence: Hitoshi Matsumura, MD, 7-45-1 Nanakuma, Jounan-ku, Fukuoka, Fukuoka Prefecture, Japan 814-0133; Department of Cardiovascular Surgery, Fukuoka University School of Medicine, Fukuoka, Japan
Hideichi Wada, MD, PhD: Department of Cardiovascular Surgery, Fukuoka University School of Medicine, Fukuoka, Japan
Hiromitsu Teratani, MD: Department of Cardiovascular Surgery, Fukuoka University School of Medicine, Fukuoka, Japan
Mau Amako, MD, PhD: Department of Cardiovascular Surgery, Fukuoka University School of Medicine, Fukuoka, Japan
Yoshio Hayashida, MD: Department of Cardiovascular Surgery, Fukuoka University School of Medicine, Fukuoka, Japan
Noritoshi Minematsu, MD: Department of Cardiovascular Surgery, Fukuoka University School of Medicine, Fukuoka, Japan

Journal volume & issue: Vol. 6, no. 4
pp. 590 – 594

Abstract

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We used a long custom needle (LCN) to improve transgraft embolization (TGE) in 10 reported cases that underwent TGE with LCN for type II endoleak (T2E) treatment after endovascular abdominal aortic aneurysm repair. TGE was performed with a LCN enabling the usage of microcatheter and embolization coils in 10 cases with T2E after endovascular abdominal aortic aneurysm repair. Embolization was successfully achieved in the nidus in all 10 cases. The aneurysmal sac diameter significantly decreased by TGE, and none of the 7 of 10 cases exhibited recurrence of sac expansion or T2E throughout the 2-year follow-up period.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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