Endovascular treatment of type II endoleak following endovascular abdominal aortic aneurysm repair
https://doi.org/10.24884/0042-4625-2022-181-3-57-61
Abstract
This article presents the clinical observation of the diagnosis and treatment of type II endoleak – complications in the late postoperative period following endoprosthetics of an aneurysm of the infrarenal abdominal aorta in a 64-year-old patient. On the regular follow-up MSCT-angiography, the growth of aneurysmal sac was detected with no obvious signs for the presence of endoleak. During selective angiography of superior mesenteric artery, the path of blood reflux into the isolated aneurysm cavity from the trunk of the inferior mesenteric artery was well visualized. Embolization of the inferior mesenteric artery was performed. Rare anatomical variant of blood supply to the splenic angle and descending colon was revealed. This clinical case describes an effective method for eliminating type II endoleak.
About the Authors
P. A. Galkin
North-Western district scientific and clinical center named after L. G. Sokolov of the Federal Medical and Biological Agency
Russian Federation
Competing Interests:
Russian Federation
Galkin Pavel A., Cardiovascular Surgeon of the Department of Vascular Surgery
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
A. V. Svetlikov
North-Western district scientific and clinical center named after L. G. Sokolov of the Federal Medical and Biological Agency
Russian Federation
Competing Interests:
Russian Federation
Svetlikov Alexey V., Cand. of Sci. (Med.), Associate Professor, Cardiovascular Surgeon, Head of the Department of Vascular Surgery
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
V. A. Sukhoruchkin
North-Western district scientific and clinical center named after L. G. Sokolov of the Federal Medical and Biological Agency
Russian Federation
Competing Interests:
Russian Federation
Sukhoruchkin Vladislav A., Cardiovascular Surgeon of the Department of Vascular Surgery
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
Yu. V. Suvorova
North-Western district scientific and clinical center named after L. G. Sokolov of the Federal Medical and Biological Agency
Russian Federation
Competing Interests:
Russian Federation
Suvorova Yulia V., Dr. of Sci. (Med.), Head of the Scientific and Educational Department, Head of the Department of X-ray Surgical Methods of Diagnosis and Treatment
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
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For citations:
Galkin P.A., Svetlikov A.V., Sukhoruchkin V.A., Suvorova Yu.V. Endovascular treatment of type II endoleak following endovascular abdominal aortic aneurysm repair. Grekov's Bulletin of Surgery. 2022;181(3):57-61. (In Russ.) https://doi.org/10.24884/0042-4625-2022-181-3-57-61
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