Treatment of type II endoleak with a transcatheter transcaval approach: Results at 1-year follow-up

Abstract

TTE appears to be a feasible technique for the complete exclusion of type II endoleaks. Technical and clinical successes are comparable with other treatment strategies, and TTE should be considered an alternative to direct translumbar puncture of the aneurysm sac.

Transcaval embolization as an alternative technique for the treatment of type II endoleak after endovascular aortic aneurysm repair

“…Furthermore, with TCE, the IVC is punctured through one wall instead of both, as required when the right translumbar/transcaval approach is performed, and lower risk of retroperitoneal hemorrhage or inadvertent bowel injury may be anticipated. 6 …”

“…6 The focus of this report is to describe our experience with TCE and to highlight the technical conduct of the procedure.…”

Outcomes of percutaneous endovascular intervention for type II endoleak with aneurysm expansion

“…The literature is replete with multiple suggested routes of T2EL ablation, including laparoscopic ligation of the inferior mesenteric artery, 13 concurrent operative lumbar embolization, 14,15 post-EVAR embolizations, 16,17 and post-EVAR operative approaches. 18 Previously, our institutional experience has shown that continued observation of persistent T2EL with stable aneurysm sac size is both safe and cost-effective.…”

Percutaneous Interventions in Aortic Disease

“…Several techniques have been described to treat these endoleaks, including transarterial, transcaval, and translumbar approaches. [94][95][96] Type II endoleaks occur in 10% to 30% of patients after EVAR and may be associated with aneurysm growth and rupture. Subdivision of type II endoleaks into transient (resolving within 6 months) and persistent (present beyond 6 months) has been found to predict EVAR-related complications.…”