Open AccessLaparoscopic lumbar artery ligation of type II endoleaks following endovascular aneurysm repair
Author(s) -
Byeoung Hoon Chung,
Hee Chul Yu,
Jae Do Yang,
Mi Rin Lee,
Min Ro Lee,
Hong Pil Hwang
Publication year - 2021
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000025732
Subject(s) - medicine , lumbar arteries , ligation , endovascular aneurysm repair , aneurysm , internal iliac artery , surgery , embolization , radiology , lumbar , angiography , abdominal aortic aneurysm , computed tomography angiography , inferior mesenteric artery
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.