Endovascular repair is a standard of treatment for patients with abdominal aortic aneurysm who are unfit for open surgery. Type 1A endoleak (T1A-E) is defined as persistent blood flow outside the lumen of the endograft due to a failure of the graft to seal the proximal landing zone adequately. Accordingly, T1A-E treatment is mandatory, and endovascular options, when possible, consist of standard adjuncts as cuffs and stents or sometimes mere ballooning. Alternatively, different embolization techniques have been described in little or case series. We describe a successful management of large T1A-E with solely coil embolization of the isolated leakage area.
United KingdomEVARTrial InvestigatorsGreenhalghRMBrownLC. Endovascular versus open repair of abdominal aortic aneurysm. N Engl J Med. 2010;362(20):1863–1871.
2.
Hyhlik-DürrAWeberTFKotelisD. The endurant stent graft system: 15-month follow-up report in patients with challenging abdominal aortic anatomies. Langenbecks Arch Surg. 2011;396(6):801–810.
3.
AburahmaAFCampbellJEMousaAY. Clinical outcomes for hostile versus favorable aortic neck anatomy in endovascular aortic aneurysm repair using modular devices. J Vasc Surg. 2011;54(1):13–21.
4.
MehtaMSternbachYTaggertJB. Long-term outcomes of secondary procedures after endovascular aneurysm repair. J Vasc Surg. 2010;52(6):1442–1449.
5.
MehtaMPatyPSRoddySP. Treatment options for delayed AAA rupture following endovascular repair. J Vasc Surg. 2011;53(1):14–20.
6.
LonderoHLevGBertoniH. Safety and feasibility of balloon-expandable stent implantation for the treatment of type I endoleaks following endovascular aortic abdominal aneurysm repair. Eurointervention. 2011;6(6):740–743.
7.
van KeulenJWMollFLTolenaarJLVerhagenHJvan HerwaardenJA. Validation of a new standardized method to measure proximal aneurysm neck angulation. Vasc Surg. 2010;51(4):821–828.
8.
StokmansRATeijinkJAForbesTL. Early results from the ENGAGE registry: real-world performance of the endurant stent graft for endovascular AAA repair in 1262 patients. Eur J Vasc Endovasc Surg. 2012;44(4):369–375.
9.
Bastos GonçalvesFde VriesJPvan KeulenJW. Severe proximal aneurysm neck angulation: early results using the endurant stentgraft system. Eur J Vasc Endovasc Surg. 2011;41(2):193–200.
MaldonadoTSRosenRJRockmanCB. Initial successful management of type I endoleak after endovascular aortic aneurysm repair with n-butyl cyanoacrylate adhesive. J Vasc Surg. 2003;38(4):664–670.
12.
SheehanMKBarbatoJComptonCNZajkoARheeRMakarounMS. Effectiveness of coiling in the treatment of endoleaks after endovascular repair. J Vasc Surg. 2004;40(3):430–434.
13.
LuQFengJYangY. Treatment of type I endoleak after endovascular repair of infrarenal abdominal aortic aneurysm: success of fibrin glue sac embolization. J Endovasc Ther. 2010;17(6):687–693.
14.
ChoiSYLee doYLeeKH. Treatment of type I endoleaks after endovascular aneurysm repair of infrarenal abdominal aortic aneurysm: usefulness of N-butyl cyanoacrylate embolization in cases of failed secondary endovascular intervention. J Vasc Interv Radiol. 2011;22(2):155–162.
15.
HenriksonORoosHFalkenbergM.Ethylene vinyl alcohol copolymer (Onyx) to seal type 1 endoleak. A new technique. Vascular. 2011;19(2):77–81.
