Percutaneous protective coil occlusion of the proximal inferior mesenteric artery before n-butyl cyanoacrylate embolization of type II endoleaks after endovascular repair of abdominal aortic aneurysms

Christine P. Chao, Ricardo Paz-Fumagalli, Eric M. Walser, J. Mark McKinney, Andrew H. Stockland, Jürgen Falkensammer, Albert G. Hakaim, W. Andrew Oldenburg

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Abstract

Bowel ischemia can complicate treatment of type II endoleak with liquid or semiliquid agents such as n-butyl cyanoacrylate (NBCA) if nontarget embolization of the inferior mesenteric artery (IMA) occurs. The current report describes four cases of type II endoleak in which the IMA was the main outflow vessel and was prophylactically occluded with embolization coils before NBCA injection into the endoleak nidus. The purpose was to prevent unintentional embolization of the NBCA into IMA branches. If feasible, protective IMA coil occlusion should be considered in type II endoleaks with IMA outflow in cases of NBCA embolization.

Original languageEnglish (US)
Pages (from-to)1827-1833
Number of pages7
JournalJournal of Vascular and Interventional Radiology
Volume17
Issue number11 I
DOIs
StatePublished - Nov 1 2006
Externally publishedYes

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ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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