Multi-channel embolotherapy for type Ⅱ endoleak originating from lumbar arteries after endovascular abdominal aortic aneurysm repair
10.3760/cma.j.cn113855-20210401-00213
- VernacularTitle:多通道栓塞治疗腹主动脉瘤腔内修复术后腰动脉来源Ⅱ型内漏的疗效分析
- Author:
Mingzhe CUI
1
;
Dexin RAO
;
Heng LIU
;
Rutao XU
;
Kewei ZHANG
;
Weixiao LI
;
Heng WANG
;
Jiangbo CHEN
;
Shuiting ZHAI
Author Information
1. 河南省人民医院血管外科/河南大学人民医院/郑州大学人民医院/华中阜外医院血管外科，郑州 450003
- Keywords:
Aortic aneurysm ,abdominal;
Embolism;
Type Ⅱ endoleak;
Interventional radiology
- From:
Chinese Journal of General Surgery
2022;37(3):189-192
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate multi-channel transcatheter embolotherapy for type Ⅱ endoleak originating from lumbar arteries after endovascular abdominal aortic aneurysm repair (EVAR).Methods:Data of 8 cases of type Ⅱ endoleak after EVAR from Oct 2017 to Nov 2020 at the Department of Vascular and Endovascular Surgery, Henan Provincial People's Hospital were retrospectively analyzed.Results:All patients who suffered from type Ⅱ endoleak that originated from lumbar arteries after EVAR were successfully treated with coils and mixture of Compant medical glue and iodipin through multi-channel. The technical success rate was 100%, the operative time was 80-150 min. Right lower limb dyskinesia occurred in 1 patient after operation, the symptom disappeared by anticoagulation and trophic neurotherapy for 2 months. Type Ⅱ endoleak didn't recur in all patients, and no mortality during the 4-38(14.1) months follow-up period.Conclusion:Multi-channel transcatheter embolotherapy has definite effects for the treatment of type Ⅱ endoleak from lumbar arteries after EVAR, with high technical feasibility, few perioperative complications, low mortality among other advantages. The results of short and medium term are satisfactory.
