Embolization of a type 2 endoleak using a micropuncture introducer set and a triple-coaxial system through the deep iliac circumflex artery via the ipsilateral femoral artery

Radiol Case Rep. 2024 Sep 24;19(12):6220-6224. doi: 10.1016/j.radcr.2024.08.134. eCollection 2024 Dec.

Abstract

An 83-year-old man underwent embolization for a type 2 endoleak following endovascular aortic repair for an abdominal aortic aneurysm. The type 2 endoleak originated from the left iliac circumflex artery, which was located very close to the puncture site in the left femoral artery. This proximity made the embolization procedure challenging; however, by employing a combination of a micropuncture introducer set and a triple-coaxial system, embolization with N-butyl-2-cyanoacrylate was successfully achieved.

Keywords: AAA; EVAR; Micropuncture; N-butyl-2-cyanoacrylate; Triple-coaxial system; Type 2 endoleak.

Publication types

  • Case Reports