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Vertebral Compression Fracture as the Complication of Embolization by Direct Puncture with Transpedicular Approach in a Patient with Type II Endoleak After Endovascular Aortic Repair

  • Akitoshi InoueEmail author
  • Shinichi Ota
  • Yugo Imai
  • Yoko Murakami
  • Akinaga Sonoda
  • Norihisa Nitta
  • Kiyoshi Murata
Letter to the Editor
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To the Editor,

We read an interesting article written by Ogawa et al. entitled “Embolization by direct puncture with a transpedicular approach using an isocenter puncture (ISOP) method in a patient with a type-II endoleak after endovascular aortic repair (EVAR) [1].” We too performed embolization using computed tomography (CT)-guided transpedicular direct puncture for type-II endoleak after EVAR. Through this letter, we report a case of vertebral compression fracture as a complication of this treatment.

Our institutional review board did not require approval to report this study. Our patient was an 85-year-old female who underwent EVAR for an infrarenal abdominal aortic aneurysm 42 months before. Contrast-enhanced CT revealed a type-II endoleak from the median sacral artery via the lateral sacral artery and expansion of the aneurysm sac and diffusely decreased bone density, indicating osteoporosis. Transarterial embolization (TAE) performed using the triaxial system was unsuccessful...

Notes

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Statement

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed Consent

Our institutional review board did not require approval to report this case.

References

  1. 1.
    Ogawa Y, Hamaguchi S, Nishimaki H, Kon Y, Chiba K, Sakurai Y, Murakami K, Arai Y, Miyairi T, Nakajima Y. Embolization by direct puncture with a transpedicular approach using an isocenter puncture (ISOP) method in a patient with a type II endoleak after endovascular aortic repair (EVAR). Cardiovasc Intervent Radiol. 2015;38:731–5.CrossRefGoogle Scholar
  2. 2.
    Uthoff H, Katzen BT, Gandhi R, Peña CS, Benenati JF, Geisbüsch P. Direct percutaneous sac injection for postoperative endoleak treatment after endovascular aortic aneurysm repair. J Vasc Surg. 2012;56:965–72.CrossRefGoogle Scholar
  3. 3.
    Zener R, Oreopoulos G, Beecroft R, Rajan DK, Jaskolka J, Tan KT. Transabdominal direct sac puncture embolization of type II endoleaks after endovascular abdominal aortic aneurysm repair. J Vasc Interv Radiol. 2018;29:1167–73.CrossRefGoogle Scholar
  4. 4.
    Tsoumakidou G, Too CW, Koch G, Caudrelier J, Cazzato RL, Garnon J, Gangi A. CIRSE guidelines on percutaneous vertebral augmentation. Cardiovasc Intervent Radiol. 2017;40:331–42.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2018

Authors and Affiliations

  • Akitoshi Inoue
    • 1
    Email author
  • Shinichi Ota
    • 1
  • Yugo Imai
    • 1
  • Yoko Murakami
    • 1
  • Akinaga Sonoda
    • 1
  • Norihisa Nitta
    • 1
  • Kiyoshi Murata
    • 1
  1. 1.Department of RadiologyShiga University of Medical ScienceOtsu-CityJapan

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