Document Detail

Direct insertion of Amplatzer plugs to control lumbar arteries during open repair of type II endoleaks.
MedLine Citation:
PMID:  22326577     Owner:  NLM     Status:  MEDLINE    
Type II endoleak after endovascular repair of an infrarenal aortic aneurysm (EVAR) may be difficult to diagnose and treat in the best of circumstances. Management is more difficult in the patient with significant renal insufficiency. We report an 81-year-old man with stage IV chronic kidney disease and a rapidly expanding, asymmetric aortic aneurysm sac, 31 months after EVAR. A type II lumbar endoleak was diagnosed by duplex ultrasound imaging and managed successfully with open aortic exposure and direct insertion of Amplatzer plugs into two bleeding lumbar arteries due to complex anatomic factors.
Kimberly Evans; Anne C Kim; William C Pevec
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2012-02-09
Journal Detail:
Title:  Journal of vascular surgery     Volume:  55     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-05-21     Completed Date:  2012-07-18     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1775-8     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
Department of Surgery, University of California, Davis, Sacramento, CA 95817, USA.
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MeSH Terms
Aged, 80 and over
Aortic Aneurysm, Abdominal / complications,  radiography,  surgery*
Aortography / methods
Arteries / physiopathology
Blood Vessel Prosthesis Implantation / adverse effects*
Embolization, Therapeutic / instrumentation*
Endoleak / diagnosis,  etiology,  physiopathology,  surgery*
Endovascular Procedures / adverse effects*
Equipment Design
Lumbar Vertebrae / blood supply*
Regional Blood Flow
Renal Insufficiency, Chronic / complications
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonography, Doppler, Duplex

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

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