Translumbar Infusion of N-Butyl Cyanoacrylate for the Treatment of Type II Endoleaks
To evaluate long-term efficacy of translumbar embolization of type II endoleaks exclusively supplied by the lumbar arteries in patients with growing abdominal aortic aneurysm sacs using N-butyl cyanoacrylate (NBCA) instilled via percutaneous needle access. The study included 25 patients who develope...
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| Published in: | Journal of vascular and interventional radiology Vol. 29; no. 6; pp. 826 - 832 |
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| Main Authors: | , , , , |
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| Language: | English |
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01-06-2018
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| Abstract | To evaluate long-term efficacy of translumbar embolization of type II endoleaks exclusively supplied by the lumbar arteries in patients with growing abdominal aortic aneurysm sacs using N-butyl cyanoacrylate (NBCA) instilled via percutaneous needle access.
The study included 25 patients who developed type II endoleak after endovascular aneurysm repair. Inclusion criteria for intervention were defined as sac expansion > 5 mm detected with CT angiography at 6-month follow-up or later. Translumbar infusion of NBCA directly into the patent portion of the aneurysm sac was performed in all cases. Duplex US was performed the day after the intervention, and CT angiography was performed within the first month. Subsequently, duplex US was performed at 3, 6, and 9 months, and CT angiography or CT was performed at 12 months and annually thereafter.
Translumbar embolization was achieved in all 25 patients. The endoleak resolved in 22 patients (88%) on duplex US performed 1 day after the embolization procedure. Three patients with persistent endoleak (12%) required repeat embolization. Two complications were detected and were managed conservatively.
This study demonstrates the safety and efficacy of NBCA injection for treatment of type II endoleaks. This technique provides another option for the management of type II endoleaks. |
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| AbstractList | PURPOSETo evaluate long-term efficacy of translumbar embolization of type II endoleaks exclusively supplied by the lumbar arteries in patients with growing abdominal aortic aneurysm sacs using N-butyl cyanoacrylate (NBCA) instilled via percutaneous needle access.MATERIALS AND METHODSThe study included 25 patients who developed type II endoleak after endovascular aneurysm repair. Inclusion criteria for intervention were defined as sac expansion > 5 mm detected with CT angiography at 6-month follow-up or later. Translumbar infusion of NBCA directly into the patent portion of the aneurysm sac was performed in all cases. Duplex US was performed the day after the intervention, and CT angiography was performed within the first month. Subsequently, duplex US was performed at 3, 6, and 9 months, and CT angiography or CT was performed at 12 months and annually thereafter.RESULTSTranslumbar embolization was achieved in all 25 patients. The endoleak resolved in 22 patients (88%) on duplex US performed 1 day after the embolization procedure. Three patients with persistent endoleak (12%) required repeat embolization. Two complications were detected and were managed conservatively.CONCLUSIONSThis study demonstrates the safety and efficacy of NBCA injection for treatment of type II endoleaks. This technique provides another option for the management of type II endoleaks. To evaluate long-term efficacy of translumbar embolization of type II endoleaks exclusively supplied by the lumbar arteries in patients with growing abdominal aortic aneurysm sacs using N-butyl cyanoacrylate (NBCA) instilled via percutaneous needle access. The study included 25 patients who developed type II endoleak after endovascular aneurysm repair. Inclusion criteria for intervention were defined as sac expansion > 5 mm detected with CT angiography at 6-month follow-up or later. Translumbar infusion of NBCA directly into the patent portion of the aneurysm sac was performed in all cases. Duplex US was performed the day after the intervention, and CT angiography was performed within the first month. Subsequently, duplex US was performed at 3, 6, and 9 months, and CT angiography or CT was performed at 12 months and annually thereafter. Translumbar embolization was achieved in all 25 patients. The endoleak resolved in 22 patients (88%) on duplex US performed 1 day after the embolization procedure. Three patients with persistent endoleak (12%) required repeat embolization. Two complications were detected and were managed conservatively. This study demonstrates the safety and efficacy of NBCA injection for treatment of type II endoleaks. This technique provides another option for the management of type II endoleaks. |
| Author | Bountouris, Ioannis Perdikides, Theodossios Bazinas, Theodoros Lagios, Kostantinos Karaolanis, Georgios |
| Author_xml | – sequence: 1 givenname: Kostantinos surname: Lagios fullname: Lagios, Kostantinos organization: Department of Interventional Radiology and Neuroradiology, 251 Hellenic Air Force Hospital Athens, Athens, Greece – sequence: 2 givenname: Georgios surname: Karaolanis fullname: Karaolanis, Georgios email: drgikaraolanis@gmail.com organization: Department of Vascular Surgery Unit, 251 Hellenic Air Force Hospital Athens, Athens, Greece – sequence: 3 givenname: Theodoros surname: Bazinas fullname: Bazinas, Theodoros organization: Department of Interventional Radiology and Neuroradiology, 251 Hellenic Air Force Hospital Athens, Athens, Greece – sequence: 4 givenname: Theodossios surname: Perdikides fullname: Perdikides, Theodossios organization: Department of Vascular Surgery Unit, 251 Hellenic Air Force Hospital Athens, Athens, Greece – sequence: 5 givenname: Ioannis surname: Bountouris fullname: Bountouris, Ioannis organization: Department of Vascular Surgery Unit, 251 Hellenic Air Force Hospital Athens, Athens, Greece |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29705224$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_17264_stmarieng_14_31 crossref_primary_10_1055_s_0040_1715873 crossref_primary_10_1016_j_jvir_2020_10_022 crossref_primary_10_1016_j_neulet_2021_135973 crossref_primary_10_1016_j_avsg_2019_04_048 crossref_primary_10_1016_j_avsg_2019_07_022 crossref_primary_10_1177_0846537120981100 crossref_primary_10_1253_circj_CJ_22_0794 crossref_primary_10_1016_j_avsg_2019_06_002 crossref_primary_10_1016_j_jvs_2021_06_030 crossref_primary_10_1016_j_rx_2023_09_004 crossref_primary_10_1055_s_0041_1730116 crossref_primary_10_1177_1538574420973821 |
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| Title | Translumbar Infusion of N-Butyl Cyanoacrylate for the Treatment of Type II Endoleaks |
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