Perioperative and mid-term results of trans-graft embolization of the hypogastric artery for treatment of type II endoleaks after endovascular aortic repair with off-label use of re-entry catheters

Type II endoleaks after en`dovascular aortic repair are a common scenario that, although infrequently, may sometimes require secondary interventions when leading to significant enlargement of the aneurysm sac. Herein, we present the perioperative and mid-term results of one of our endovascular aorti...

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Main Authors: Filippo Griselli, MD, Alessia D’Andrea, MD, Sandro Lepidi, MD, Beatrice Grando, MD, Giovanni Badalamenti, MD, Mario D’Oria, MD
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
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Online Access:http://www.sciencedirect.com/science/article/pii/S2468428724002582
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author Filippo Griselli, MD
Alessia D’Andrea, MD
Sandro Lepidi, MD
Beatrice Grando, MD
Giovanni Badalamenti, MD
Mario D’Oria, MD
author_facet Filippo Griselli, MD
Alessia D’Andrea, MD
Sandro Lepidi, MD
Beatrice Grando, MD
Giovanni Badalamenti, MD
Mario D’Oria, MD
author_sort Filippo Griselli, MD
collection DOAJ
description Type II endoleaks after en`dovascular aortic repair are a common scenario that, although infrequently, may sometimes require secondary interventions when leading to significant enlargement of the aneurysm sac. Herein, we present the perioperative and mid-term results of one of our endovascular aortic repair cases with type II endoleak from the hypogastric artery, whose ostium was covered by the prior stent graft limbs and that were successfully treated with a novel technique employing re-entry catheters in an off-label fashion. This technique may represent a valid alternative solution when conventional access between artery and prosthesis is laborious or impossible to achieve.
format Article
id doaj-art-cfa582e06e0e4d26bec0c8c0453c9ecf
institution Kabale University
issn 2468-4287
language English
publishDate 2025-02-01
publisher Elsevier
record_format Article
series Journal of Vascular Surgery Cases and Innovative Techniques
spelling doaj-art-cfa582e06e0e4d26bec0c8c0453c9ecf2025-01-20T04:17:44ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-02-01111101674Perioperative and mid-term results of trans-graft embolization of the hypogastric artery for treatment of type II endoleaks after endovascular aortic repair with off-label use of re-entry cathetersFilippo Griselli, MD0Alessia D’Andrea, MD1Sandro Lepidi, MD2Beatrice Grando, MD3Giovanni Badalamenti, MD4Mario D’Oria, MD5Division of Vascular and Endovascular Surgery, Cardio-Thoracic-Vascular Department, Integrated University Healthcare Giuliano-Isontina, University Hospital of Cattinara, Trieste, ItalyDivision of Vascular and Endovascular Surgery, Cardio-Thoracic-Vascular Department, Integrated University Healthcare Giuliano-Isontina, University Hospital of Cattinara, Trieste, ItalyDivision of Vascular and Endovascular Surgery, Cardio-Thoracic-Vascular Department, Integrated University Healthcare Giuliano-Isontina, University Hospital of Cattinara, Trieste, Italy; Division of Vascular and Endovascular Surgery, Department of Clinical Surgical and Health Sciences, University of Trieste, Trieste, ItalyDivision of Vascular and Endovascular Surgery, Cardio-Thoracic-Vascular Department, Integrated University Healthcare Giuliano-Isontina, University Hospital of Cattinara, Trieste, ItalyDivision of Vascular and Endovascular Surgery, Cardio-Thoracic-Vascular Department, Integrated University Healthcare Giuliano-Isontina, University Hospital of Cattinara, Trieste, ItalyDivision of Vascular and Endovascular Surgery, Cardio-Thoracic-Vascular Department, Integrated University Healthcare Giuliano-Isontina, University Hospital of Cattinara, Trieste, Italy; Division of Vascular and Endovascular Surgery, Department of Clinical Surgical and Health Sciences, University of Trieste, Trieste, Italy; Correspondence: Mario D’Oria, MD, Division of Vascular and Endovascular Surgery, Department of Clinical Surgical and Health Sciences, University of Trieste, Strada di Fiume, 447, 34129 Trieste TS, ItalyType II endoleaks after en`dovascular aortic repair are a common scenario that, although infrequently, may sometimes require secondary interventions when leading to significant enlargement of the aneurysm sac. Herein, we present the perioperative and mid-term results of one of our endovascular aortic repair cases with type II endoleak from the hypogastric artery, whose ostium was covered by the prior stent graft limbs and that were successfully treated with a novel technique employing re-entry catheters in an off-label fashion. This technique may represent a valid alternative solution when conventional access between artery and prosthesis is laborious or impossible to achieve.http://www.sciencedirect.com/science/article/pii/S2468428724002582Type 2 endoleakEmbolizationRe-entry catheter
spellingShingle Filippo Griselli, MD
Alessia D’Andrea, MD
Sandro Lepidi, MD
Beatrice Grando, MD
Giovanni Badalamenti, MD
Mario D’Oria, MD
Perioperative and mid-term results of trans-graft embolization of the hypogastric artery for treatment of type II endoleaks after endovascular aortic repair with off-label use of re-entry catheters
Journal of Vascular Surgery Cases and Innovative Techniques
Type 2 endoleak
Embolization
Re-entry catheter
title Perioperative and mid-term results of trans-graft embolization of the hypogastric artery for treatment of type II endoleaks after endovascular aortic repair with off-label use of re-entry catheters
title_full Perioperative and mid-term results of trans-graft embolization of the hypogastric artery for treatment of type II endoleaks after endovascular aortic repair with off-label use of re-entry catheters
title_fullStr Perioperative and mid-term results of trans-graft embolization of the hypogastric artery for treatment of type II endoleaks after endovascular aortic repair with off-label use of re-entry catheters
title_full_unstemmed Perioperative and mid-term results of trans-graft embolization of the hypogastric artery for treatment of type II endoleaks after endovascular aortic repair with off-label use of re-entry catheters
title_short Perioperative and mid-term results of trans-graft embolization of the hypogastric artery for treatment of type II endoleaks after endovascular aortic repair with off-label use of re-entry catheters
title_sort perioperative and mid term results of trans graft embolization of the hypogastric artery for treatment of type ii endoleaks after endovascular aortic repair with off label use of re entry catheters
topic Type 2 endoleak
Embolization
Re-entry catheter
url http://www.sciencedirect.com/science/article/pii/S2468428724002582
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