Skip to main content
Log in

Ruptured Aortic Aneurysm From Late Type II Endoleak Treated by Transarterial Embolization

  • Case Report
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Endoleak is the most common complication after endovascular aneurysm repair. The most common type of endoleak, a type II endoleak, typically follows a benign course and is only treated when associated with increasing aneurysm size. In this case report, we describe a ruptured abdominal aortic aneurysm due to a late, type II endoleak occurring 10 years after endovascular aneurysm repair that was successfully treated by transarterial embolization.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

References

  1. Dillavou ED, Muluk SC, Makaroun MS (2005) Improving aneurysm-related outcomes: nationwide benefits of endovascular repair. J Vasc Surg 43:446–452

    Article  Google Scholar 

  2. van Marrewijk CJ, Fransen G, Laheij RJ et al (2004) Is a type II endoleak after EVAR a harbinger of risk? Causes and outcome of open conversion and aneurysm rupture during follow-up. Eur J Vasc Endovasc Surg 27:128–137

    Article  PubMed  Google Scholar 

  3. van Marrewijk CJ, Buth J, Harris PL et al (2002) Significance of endoleaks after endovascular repair of abdominal aortic aneurysms: The EUROSTAR experience. J Vasc Surg 35:461–473

    Article  PubMed  Google Scholar 

  4. Jones JE, Atkins MD, Brewster DC et al (2007) Persistent type 2 endoleak after endovascular repair of abdominal aortic aneurysm is associated with adverse late outcomes. J Vasc Surg 46:1–8

    Article  PubMed  Google Scholar 

  5. Tolia AJ, Landis R, Lamparello P et al (2005) Type II endoleaks after endovascular repair of abdominal aortic aneurysms: natural history. Radiology 235:683–686

    Article  PubMed  Google Scholar 

  6. Harris PL, Vallabhaneni SR, Desgranges P et al (2000) Incidence and risk factors of late rupture, conversion, and death after endovascular repair of infrarenal aortic aneurysms: the EUROSTAR experience. J Vasc Surg 32:739–749

    Article  PubMed  CAS  Google Scholar 

  7. Hinchliffe RJ, Singh-Ranger R, Davidson IR et al (2001) Rupture of an abdominal aortic aneurysm secondary to type II endoleak. Eur J Vasc Endovasc Surg 22:563–565

    Article  PubMed  CAS  Google Scholar 

  8. Politz JK, Newman VS, Stewart MT (2000) Late abdominal aortic aneurysm rupture after AneuRx repair: a report of three cases. J Vasc Surg 31:599–606

    Article  PubMed  CAS  Google Scholar 

  9. Timaran CH, Ohki T, Rhee SJ et al (2004) Predicting aneurysm enlargement in patients with persistent type II endoleaks. J Vasc Surg 39:1157–1162

    Article  PubMed  Google Scholar 

  10. Frasen GA, Vallabhaneni SR, van Marrewijk CJ et al (2003) Rupture of infra-renal aortic aneurysm after endovascular repair: a series from EUROSTAR registry. Eur J Vasc Endovasc Surg 26:293–487

    Article  Google Scholar 

  11. Nevala T, Biancari F, Manninen H et al (2010) Type II endoleak after endovascular repair of abdominal aortic aneurysm: effectiveness of embolization. Cardiovasc Intervent Radiol 33:278–284

    Article  PubMed  Google Scholar 

  12. Kasirajan K, Matteson B, Marek JM et al (2003) Technique and results of transfemoral superselective coil embolization of type II lumbar endoleak. J Vasc Surg 38:61–66

    Article  PubMed  Google Scholar 

  13. Sheehan MK, Barbato J, Compton CN et al (2004) Effectiveness of coiling in the treatment of endoleaks after endovascular repair. J Vasc Surg 40:430–434

    Article  PubMed  Google Scholar 

  14. Baum RA, Carpenter JP, Tuite CM et al (2000) Diagnosis and treatment of inferior mesenteric arterial endoleaks after endovascular repair of abdominal aortic aneurysms. Radiology 215:409–413

    PubMed  CAS  Google Scholar 

  15. Chuter TA, Faruqi RM, Sawhney R et al (2001) Endoleak after endovascular repair of abdominal aortic aneurysm. J Vasc Surg 34:98–105

    Article  PubMed  CAS  Google Scholar 

  16. Solis MM, Ayerdi J, Babcock GA et al (2002) Mechanism of failure in the treatment of type II endoleak with percutaneous coil embolization. J Vasc Surg 36:485–491

    Article  PubMed  Google Scholar 

  17. Wieners G, Meyer F, Halloul Z et al (2010) Detection of type II endoleak after endovascular aortic repair: comparison between magnetic resonance angiography and blood-pool contrast agent and dual-phase computed tomography angiography. Cardiovasc Intervent Radiol 33:1135–1142

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

B. F. received an honorarium from EV3 for lecturing services. S. G and J. L have no conflicts of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Senthil Gunasekaran.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gunasekaran, S., Funaki, B. & Lorenz, J. Ruptured Aortic Aneurysm From Late Type II Endoleak Treated by Transarterial Embolization. Cardiovasc Intervent Radiol 36, 255–258 (2013). https://doi.org/10.1007/s00270-012-0381-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-012-0381-5

Keywords

Navigation