Key result
A novel image-guided approach for percutaneous transabdominal endoleak treatment using contrast-enhanced ultrasound in combination with fluoroscopy is described.
Why the study?
Type II endoleaks after endovascular aortic aneurysm repair can cause sac enlargement and rupture, warranting illustration of a novel image-guided percutaneous treatment approach.
Case Report
Contrast-enhanced ultrasound combined with fluoroscopy can be used as a novel image-guided approach for percutaneous transabdominal treatment of type II endoleaks.
Feasibility shown in one case; hypothesis-generating for combined imaging in type II endoleak repair, not yet practice-changing.
Endoleaks are a frequent and well-known complication after endovascular repair of aortic aneurysms. An endoleak can lead to increased intrasac pressure, sac enlargement, and potential aneurysm rupture. Type II endoleaks result from retrograde filling of aortic branch vessels and can be treated with surgical, endovascular, or direct percutaneous approaches. Direct percutaneous treatment typically involves embolization of the perfused endoleak cavity typically using a translumbar approach with fluoroscopic guidance. We illustrate a novel image-guided approach for percutaneous transabdominal endoleak treatment using contrast-enhanced ultrasound in combination with fluoroscopy.
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Churchill et al. (2021) conducted a case report in Type II endoleaks after endovascular repair of aortic aneurysms. Percutaneous transabdominal endoleak treatment using contrast-enhanced ultrasound in combination with fluoroscopy was evaluated. A novel image-guided approach for percutaneous transabdominal endoleak treatment using contrast-enhanced ultrasound in combination with fluoroscopy is described.
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