Open AccessDirect transarterial embolization via the deep circumflex iliac artery for a type II endoleak using a novel Onyx™ mixture
Author(s) -
Paul Ghaly,
Glen Schlaphoff,
Jim Iliopoulos,
Mehtab Ahmad
Publication year - 2020
Publication title -
journal of surgical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.14
H-Index - 3
ISSN - 2042-8812
DOI - 10.1093/jscr/rjaa526
Subject(s) - medicine , internal iliac artery , circumflex , embolization , radiology , transarterial embolization , iliac artery , surgery , abdominal aortic aneurysm , external iliac artery , common iliac artery , aneurysm , abdominal aorta , endovascular treatment , artery , aorta
Internal iliac artery aneurysms (IIAA) can be associated with abdominal aortic aneurysms. We describe a technique of successful transarterial embolization using a mixture of Onyx™ formulations in a 72-year-old with previous open and endovascular aneurysm repairs of his abdominal aorta and a residual large left IIAA causing a Type II endoleak. We demonstrate that utilization of the deep circumflex iliac artery is a safe and viable alternate route to treating IIAA when direct access is not achievable.