Why the study?
Does neck-targeted, stand-alone coil embolization successfully treat large Type 1A endoleak following endovascular repair?
Does neck-targeted, stand-alone coil embolization successfully treat large Type 1A endoleak following endovascular repair?
Stand-alone coil embolization may be a viable endovascular option for managing large Type 1A endoleaks following endovascular repair of abdominal aortic aneurysms.
Answers are grounded in this paper and cite their sources.
May support stand-alone coiling for large Type 1A endoleak; hypothesis-generating and requires prospective validation before adoption.
Endovascular repair is a standard of treatment for patients with abdominal aortic aneurysm who are unfit for open surgery. Type 1A endoleak (T1A-E) is defined as persistent blood flow outside the lumen of the endograft due to a failure of the graft to seal the proximal landing zone adequately. Accordingly, T1A-E treatment is mandatory, and endovascular options, when possible, consist of standard adjuncts as cuffs and stents or sometimes mere ballooning. Alternatively, different embolization techniques have been described in little or case series. We describe a successful management of large T1A-E with solely coil embolization of the isolated leakage area.
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Arici et al. (2013) studied this question.
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