Stent Graft Implantation and Superselective Embolization with Liquid Embolic Agent, Onyx for Iatrogenic Common Iliac Artery Pseudoaneurysm and Persistant Endoleak
10.5758/vsi.2019.35.2.101
- Author:
Wonho KIM
1
;
Jinho CHOI
Author Information
1. Division of Cardiology, Eulji University Hospital, Daejeon, Korea.
- Publication Type:Case Report
- Keywords:
Iliac artery;
Aneurysm;
Endoleak;
Iatrogenic injury;
Embolization
- MeSH:
Aged;
Aneurysm;
Aneurysm, False;
Blood Vessel Prosthesis;
Endoleak;
Humans;
Iliac Artery;
Male;
Rupture;
Stents
- From:Vascular Specialist International
2019;35(2):101-104
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 68-year-old male patient with a history of femoro-femoral bypass following unsuccessful intervention for chronic total iliac occlusion was found to have a saccular pseudoaneurysm of the right common iliac artery (CIA) due to interventional device-related injuries associated with the past endovascular intervention. An iatrogenic pseudoaneurysm in the CIA is generally asymptomatic, but it has a high risk of rupture, regardless of its size or symptoms. Endovascular therapy may be the best treatment option; however, ineffective sealing with a stent graft may lead to a type I endoleak. Under such conditions, use of the liquid embolic agent, Onyx, as a bailout solution for the type 1 endoleak is promising.
