Direct insertion of Amplatzer plugs to control lumbar arteries during open repair of type II endoleaks

Kimberly Evans, Anne C. Kim, William C Pevec

Research output: Contribution to journalArticle

Abstract

Type II endoleak after endovascular repair of an infrarenal aortic aneurysm (EVAR) may be difficult to diagnose and treat in the best of circumstances. Management is more difficult in the patient with significant renal insufficiency. We report an 81-year-old man with stage IV chronic kidney disease and a rapidly expanding, asymmetric aortic aneurysm sac, 31 months after EVAR. A type II lumbar endoleak was diagnosed by duplex ultrasound imaging and managed successfully with open aortic exposure and direct insertion of Amplatzer plugs into two bleeding lumbar arteries due to complex anatomic factors.

Original languageEnglish (US)
Pages (from-to)1775-1778
Number of pages4
JournalJournal of Vascular Surgery
Volume55
Issue number6
DOIs
StatePublished - Jun 2012

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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