A Case of Successful Coil Embolization for a Late-Onset Type Ia Endoleak after Endovascular Aneurysm Repair with the Chimney Technique
Juxtarenal aortic aneurysms (JRAAs) are challenging to treat by endovascular aneurysm repair (EVAR) procedures. The chimney technique with EVAR (Ch-EVAR) is one of the feasible and less invasive treatments for JRAAs. However, the main concern of Ch-EVAR is the potential risk of “gutters,” which can...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2016/5307416 |
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| author | Kimihiro Igari Toshifumi Kudo Takahiro Toyofuku Yoshinori Inoue |
| author_facet | Kimihiro Igari Toshifumi Kudo Takahiro Toyofuku Yoshinori Inoue |
| author_sort | Kimihiro Igari |
| collection | DOAJ |
| description | Juxtarenal aortic aneurysms (JRAAs) are challenging to treat by endovascular aneurysm repair (EVAR) procedures. The chimney technique with EVAR (Ch-EVAR) is one of the feasible and less invasive treatments for JRAAs. However, the main concern of Ch-EVAR is the potential risk of “gutters,” which can lead to type Ia endoleak (EL). Most type Ia ELs after Ch-EVAR procedures occurred intraoperatively, and these ELs could be treated using an endovascular technique. However, late-onset type Ia ELs could be extremely rare, which might have a fear of conservative treatment. Type Ia ELs are associated with an increased risk of aneurysm rupture; therefore reintervention is recommended as soon as possible, and we should be aware of the occurrence of type Ia ELs after the Ch-EVAR procedure. |
| format | Article |
| id | doaj-art-dc0910a7efb74c9d9b37c3b04ad90928 |
| institution | Kabale University |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-dc0910a7efb74c9d9b37c3b04ad909282025-02-03T01:12:20ZengWileyCase Reports in Vascular Medicine2090-69862090-69942016-01-01201610.1155/2016/53074165307416A Case of Successful Coil Embolization for a Late-Onset Type Ia Endoleak after Endovascular Aneurysm Repair with the Chimney TechniqueKimihiro Igari0Toshifumi Kudo1Takahiro Toyofuku2Yoshinori Inoue3Division of Vascular and Endovascular Surgery, Department of Surgery, Tokyo Medical and Dental University, Tokyo, JapanDivision of Vascular and Endovascular Surgery, Department of Surgery, Tokyo Medical and Dental University, Tokyo, JapanDivision of Vascular and Endovascular Surgery, Department of Surgery, Tokyo Medical and Dental University, Tokyo, JapanDivision of Vascular and Endovascular Surgery, Department of Surgery, Tokyo Medical and Dental University, Tokyo, JapanJuxtarenal aortic aneurysms (JRAAs) are challenging to treat by endovascular aneurysm repair (EVAR) procedures. The chimney technique with EVAR (Ch-EVAR) is one of the feasible and less invasive treatments for JRAAs. However, the main concern of Ch-EVAR is the potential risk of “gutters,” which can lead to type Ia endoleak (EL). Most type Ia ELs after Ch-EVAR procedures occurred intraoperatively, and these ELs could be treated using an endovascular technique. However, late-onset type Ia ELs could be extremely rare, which might have a fear of conservative treatment. Type Ia ELs are associated with an increased risk of aneurysm rupture; therefore reintervention is recommended as soon as possible, and we should be aware of the occurrence of type Ia ELs after the Ch-EVAR procedure.http://dx.doi.org/10.1155/2016/5307416 |
| spellingShingle | Kimihiro Igari Toshifumi Kudo Takahiro Toyofuku Yoshinori Inoue A Case of Successful Coil Embolization for a Late-Onset Type Ia Endoleak after Endovascular Aneurysm Repair with the Chimney Technique Case Reports in Vascular Medicine |
| title | A Case of Successful Coil Embolization for a Late-Onset Type Ia Endoleak after Endovascular Aneurysm Repair with the Chimney Technique |
| title_full | A Case of Successful Coil Embolization for a Late-Onset Type Ia Endoleak after Endovascular Aneurysm Repair with the Chimney Technique |
| title_fullStr | A Case of Successful Coil Embolization for a Late-Onset Type Ia Endoleak after Endovascular Aneurysm Repair with the Chimney Technique |
| title_full_unstemmed | A Case of Successful Coil Embolization for a Late-Onset Type Ia Endoleak after Endovascular Aneurysm Repair with the Chimney Technique |
| title_short | A Case of Successful Coil Embolization for a Late-Onset Type Ia Endoleak after Endovascular Aneurysm Repair with the Chimney Technique |
| title_sort | case of successful coil embolization for a late onset type ia endoleak after endovascular aneurysm repair with the chimney technique |
| url | http://dx.doi.org/10.1155/2016/5307416 |
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