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Journals / Eurasian Journal of Medicine / 2013 / Cilt: 45 - Sayı: 2

Bilgisayarlı tomografi ve floroskopi rehberliğinde perkütan transabdominal yolla Tip II endoleak embolizasyonu

CT- and fluoroscopy-guided percutaneous transabdominal embolization of Type II endoleak

Kutlay KARAMAN
A. Murat DOKDOK
Oktay KARADENİZ
Pages
132–134
Publication Date
2022-10-18
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Whenother conventional endovascular methods have failed, percutaneoustransabdominal treatment of a type II endoleak with sac enlargementoffers an alternative treatment method.

📌 3 Key Takeaways

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Objective & Hypothesis:We report a case of a 79-year-old male patient who was treated 3 yearspreviously at another hospital for an abdominal aortic aneurysm witha maximal diameter of 80 mm.
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Key Findings & Data:After the treatment control period,computed tomography imaging revealed a type II endoleak and noprogression in the size of the aneurysm sac.
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Conclusion & Impact:Whenother conventional endovascular methods have failed, percutaneoustransabdominal treatment of a type II endoleak with sac enlargementoffers an alternative treatment method.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

We report a case of a 79-year-old male patient who was treated 3 yearspreviously at another hospital for an abdominal aortic aneurysm witha maximal diameter of 80 mm. After the treatment control period,computed tomography imaging revealed a type II endoleak and noprogression in the size of the aneurysm sac. Selective injection of thesuperior mesenteric artery revealed that the endoleak was filled bythe inferior mesenteric artery via the marginal artery. However, it wasnot possible to access using retrograde catheterization. We decided totreat the type II endoleak percutaneously. Embolization was performedat the tomography table using fluoroscopy with a mobile C-arm, andthe puncture was performed transabdominally because there was noaccess to the sac via a translumbar approach. Under fluoroscopic guid-ance, various diameter/length coils were deployed. Follow-up computed tomography scans confirmed the collapsed aneurysm sac. Whenother conventional endovascular methods have failed, percutaneoustransabdominal treatment of a type II endoleak with sac enlargementoffers an alternative treatment method.

Özet

Başka bir hastanede 3 sene önce 80mm çapa ulaşmış abdominalaort anevrizması nedeniyle tedavi edilen 79 yaşında erkek hastada kontrol bilgisayarlı tomografi (BT) incelemesinde tip II endoleak ve anevrizma kesesinde boyut artışı tespit edildi. Anjiyografik incelemede inferior mezenterik arterden dolum gösteren endoleak tespitedildi ancak retrograd olarak kateterize edilemedi. Perkütan tedaviedilmesine karar verilen olguda BT ve floroskopi birlikte kullanılarakendoleak kesesine perkütan transabdominal yolla girilip değişik çap ve uzunlukta metal sarmallar ile embolizasyon yapıldı. Radyolojik takiplerinde anevrizma kesesinde küçülme izlendi. Diğer konvansiyonel yöntemler başarısız kalırsa, boyut artışı gösteren tip II endoleak tedavisi için perkütan transabdominal embolizasyon alternatif biryöntemdir.

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Cite This Article

KARAMAN, K., DOKDOK, A. M., KARADENİZ, O. (2022). Bilgisayarlı tomografi ve floroskopi rehberliğinde perkütan transabdominal yolla Tip II endoleak embolizasyonu. Eurasian Journal of Medicine, Cilt: 45 - Sayı: 2, 132–134. https://ajindex.com/articles/509175

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References (1)

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