Document Detail

Cyanoacrylate embolization of endoleaks after abdominal aortic aneurysm repair.
MedLine Citation:
PMID:  20078537     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Type II endoleaks occur in up to a fifth of endoluminal repairs for abdominal aortic aneurysms and are commonly treated when aortic sac expansion can be demonstrated. Technical failure is common when catheter-guided particulates or coil embolic agents are used. Presented here is a feasibility study using catheter-directed N-butyl-2-cyanoacrylate (Histoacryl, Braun, Tuttlingen, Germany) embolotherapy. METHOD: A retrospective review of the case notes of patients undergoing embolization procedures for type II endoleaks with expanding sacs was performed from this centre's cohort of endoluminal aortic repair patients under surveillance. Data on patients with type II endoleaks who were treated with either or both cyanoacrylate and coil embolization were extracted. The outcomes were then compared. RESULTS: In total, five cases were identified, and four of these cases had both coil and glue embolization. Technical success was defined as endoleak closure proven on follow-up computed tomographic imaging. Technical success was achieved in all four patients treated with intra-sac cyanoacrylate. One case treated initially with coil embolization was successful. All patients had a computed tomographic scan at 3 months. One minor complication occurred that resolved without treatment. DISCUSSION: Type II endoleaks after EVAR with expanding sacs require treatment. Percutaneous catheter-directed cyanoacrylate embolization offers an alternative to coil or particulate embolization and, in this series, was found to be more likely to result in endoleak closure.
Timothy Buckenham; Michael McKewen; Andrew Laing; Justin Roake; David Lewis; Malcolm K Gordon
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  ANZ journal of surgery     Volume:  79     ISSN:  1445-2197     ISO Abbreviation:  ANZ J Surg     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2010-01-18     Completed Date:  2010-02-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101086634     Medline TA:  ANZ J Surg     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  841-3     Citation Subset:  IM    
Department of Radiology, Christchurch Hospital, Christchurch, New Zealand.
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MeSH Terms
Aortic Aneurysm, Abdominal / surgery*
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation*
Embolization, Therapeutic / methods*
Enbucrilate / therapeutic use
Middle Aged
Postoperative Complications / therapy*
Prosthesis Failure
Retrospective Studies
Ultrasonography, Doppler, Duplex
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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