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Perigraft Plug Embolization of the Internal Iliac Artery and Implantation of a Bifurcated Stentgraft: One Treatment Option for Insufficient Tubular Stentgraft Repair of a Common Iliac Artery Aneurysm

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Abstract

We report an endovascular technique for the treatment of type Ia endoleak after a plain tubular stentgraft had been implanted for a large common iliac artery aneurysm with an insufficient proximal landing zone and without occlusion of the hypogastric in another hospital. CT follow-up showed an endoleak with continuous sac expansion over 12 months. This was classified as type Ia by means of dynamic contrast-enhanced MRI. Before a bifurcated stentgraft was implanted to relocate the landing zone more proximally, the still perfused ipsilateral hypogastric artery was embolized to prevent a type II endoleak. A guidewire was manipulated alongside the indwelling stentgraft. The internal iliac artery could then be selectively intubated followed by successful plug embolization of the vessel’s orifice despite the stentgraft being in place.

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Authors and Affiliations

  1. Department for Radiology and Nuclear Medicine, University Hospital of Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany

    Jan Peter Goltz, Julia Loesaus, Alex Frydrychowicz & Jörg Barkhausen

  2. Clinic for Surgery, University Hospital of Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany

    Marcus Wiedner

Authors
  1. Jan Peter Goltz
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  2. Julia Loesaus
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  3. Alex Frydrychowicz
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  4. Jörg Barkhausen
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  5. Marcus Wiedner
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Correspondence to Jan Peter Goltz.

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All authors declare that they have no conflicts of interest.

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Goltz, J.P., Loesaus, J., Frydrychowicz, A. et al. Perigraft Plug Embolization of the Internal Iliac Artery and Implantation of a Bifurcated Stentgraft: One Treatment Option for Insufficient Tubular Stentgraft Repair of a Common Iliac Artery Aneurysm. Cardiovasc Intervent Radiol 39, 304–308 (2016). https://doi.org/10.1007/s00270-015-1161-9

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  • DOI: https://doi.org/10.1007/s00270-015-1161-9

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