Re-Do Endovascular Endoleak Embolization by Transprosthetic Puncture After Endovascular Aneurysm Repair
Background: Compared with open repair of abdominal aortic aneurysms, endovascular aneurysm repair (EVAR) is less invasive and results in better perioperative outcomes and lower perioperative mortality risk. However, complications, such as endoleaks, can be frequent, leading to interventions on the s...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-07-01
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| Series: | JACC: Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666084925006333 |
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| author | Livio D’Angelo, MD Ioannis Skalidis, MD, PhD Thierry Unterseeh, MD Bastien Regrelle, MD Raphael Philippart, MD Benjamin Honton, MD Antoine Sauguet, MD |
| author_facet | Livio D’Angelo, MD Ioannis Skalidis, MD, PhD Thierry Unterseeh, MD Bastien Regrelle, MD Raphael Philippart, MD Benjamin Honton, MD Antoine Sauguet, MD |
| author_sort | Livio D’Angelo, MD |
| collection | DOAJ |
| description | Background: Compared with open repair of abdominal aortic aneurysms, endovascular aneurysm repair (EVAR) is less invasive and results in better perioperative outcomes and lower perioperative mortality risk. However, complications, such as endoleaks, can be frequent, leading to interventions on the stent graft. Managing endoleaks remains controversial. Case Summary: Type I endoleaks require secondary intervention because of a high rupture risk, whereas type II endoleaks are treated if the aneurysm sac grows. The most effective treatment for type II endoleaks is still debated. Transcatheter embolization, including the less-invasive transprosthetic puncture embolization, may offer a better alternative to open surgery. Review Summary: This review discusses type II endoleak management strategies, emphasizing transprosthetic puncture embolization, which provided excellent results in our case. Take-Home Messages: Transprosthetic puncture embolization is a safe, effective treatment for type II endoleaks post-EVAR. This case demonstrates its successful application with no complications at follow-up. |
| format | Article |
| id | doaj-art-d359b0e4975d4872889024b6408a7d2e |
| institution | DOAJ |
| issn | 2666-0849 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JACC: Case Reports |
| spelling | doaj-art-d359b0e4975d4872889024b6408a7d2e2025-08-20T02:43:24ZengElsevierJACC: Case Reports2666-08492025-07-01301710385510.1016/j.jaccas.2025.103855Re-Do Endovascular Endoleak Embolization by Transprosthetic Puncture After Endovascular Aneurysm RepairLivio D’Angelo, MD0Ioannis Skalidis, MD, PhD1Thierry Unterseeh, MD2Bastien Regrelle, MD3Raphael Philippart, MD4Benjamin Honton, MD5Antoine Sauguet, MD6Institut Cardiovasculaire Paris-Sud, Hôpital Jacques Cartier, Ramsay-Santé, Massy, France; Address for correspondence: Dr Livio D’Angelo, Department of Cardiology, Institut Cardiovasculaire Paris-Sud, Rue du Bugnon, Massy, France.Institut Cardiovasculaire Paris-Sud, Hôpital Jacques Cartier, Ramsay-Santé, Massy, FranceInstitut Cardiovasculaire Paris-Sud, Hôpital Jacques Cartier, Ramsay-Santé, Massy, FranceDepartment of Cardiology, Clinique Pasteur, Toulouse, FranceDepartment of Cardiology, Clinique Pasteur, Toulouse, FranceDepartment of Cardiology, Clinique Pasteur, Toulouse, FranceDepartment of Cardiology, Clinique Pasteur, Toulouse, FranceBackground: Compared with open repair of abdominal aortic aneurysms, endovascular aneurysm repair (EVAR) is less invasive and results in better perioperative outcomes and lower perioperative mortality risk. However, complications, such as endoleaks, can be frequent, leading to interventions on the stent graft. Managing endoleaks remains controversial. Case Summary: Type I endoleaks require secondary intervention because of a high rupture risk, whereas type II endoleaks are treated if the aneurysm sac grows. The most effective treatment for type II endoleaks is still debated. Transcatheter embolization, including the less-invasive transprosthetic puncture embolization, may offer a better alternative to open surgery. Review Summary: This review discusses type II endoleak management strategies, emphasizing transprosthetic puncture embolization, which provided excellent results in our case. Take-Home Messages: Transprosthetic puncture embolization is a safe, effective treatment for type II endoleaks post-EVAR. This case demonstrates its successful application with no complications at follow-up.http://www.sciencedirect.com/science/article/pii/S2666084925006333aneurysmaortaembolizationendovascular repairperipheral |
| spellingShingle | Livio D’Angelo, MD Ioannis Skalidis, MD, PhD Thierry Unterseeh, MD Bastien Regrelle, MD Raphael Philippart, MD Benjamin Honton, MD Antoine Sauguet, MD Re-Do Endovascular Endoleak Embolization by Transprosthetic Puncture After Endovascular Aneurysm Repair JACC: Case Reports aneurysm aorta embolization endovascular repair peripheral |
| title | Re-Do Endovascular Endoleak Embolization by Transprosthetic Puncture After Endovascular Aneurysm Repair |
| title_full | Re-Do Endovascular Endoleak Embolization by Transprosthetic Puncture After Endovascular Aneurysm Repair |
| title_fullStr | Re-Do Endovascular Endoleak Embolization by Transprosthetic Puncture After Endovascular Aneurysm Repair |
| title_full_unstemmed | Re-Do Endovascular Endoleak Embolization by Transprosthetic Puncture After Endovascular Aneurysm Repair |
| title_short | Re-Do Endovascular Endoleak Embolization by Transprosthetic Puncture After Endovascular Aneurysm Repair |
| title_sort | re do endovascular endoleak embolization by transprosthetic puncture after endovascular aneurysm repair |
| topic | aneurysm aorta embolization endovascular repair peripheral |
| url | http://www.sciencedirect.com/science/article/pii/S2666084925006333 |
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