AI Article Synopsis
- * A 70-year-old male patient experienced a persistent type II endoleak linked to lumbar arteries, leading to a significant increase in aneurysm sac size over two years.
- * Following a failed transarterial embolization, a successful laparoscopic lumbar artery ligation was performed, resulting in the complete resolution of the endoleak and a complication-free recovery for the patient.
Article Abstract
Introduction: Although the clinical significance of type II endoleaks remain controversial, management strategies continue to expand. The laparoscopic approach is a minimally invasive method for persistent type II endoleak repair after endovascular aneurysm repair.
Patient Concerns: A 70 - year - old male patient with a history of endovascular aneurysm repair with left internal iliac artery embolization presented with persistent type II endoleak from the lumbar arteries 2 years ago. The aneurysm sac size had increased more than 10 mm during follow up period.
Diagnosis: Persistent type II endoleak after endovascular aneurysm repair.
Interventions: Transarterial embolization was attempted and failed. A minimally invasive laparoscopic lumbar artery ligation was then utilized.
Outcomes: The patient was discharged without any complications after surgery. Follow-up computed tomography angiography has shown the complete disappearance of the type II endoleaks.
Conclusions: Laparoscopic lumbar artery ligation may be a safe and effective alternative treatment for type II endoleaks, especially in high resource settings.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8104289 | PMC |
| http://dx.doi.org/10.1097/MD.0000000000025732 | DOI Listing |
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