Laser assisted trans-endograft coil embolization of a type II endoleak

Authors

Kunal Mehta, Department of Surgery, Maine Medical Center, Portland, ME.
Aravind S. Ponukumati, Section of Vascular Surgery, Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH.
Benjamin N. Jacobs, Division of Vascular Surgery and Endovascular Therapy, University of Florida College of Medicine, Gainesville, FL.
David P. Kuwayama, Division of Vascular Surgery and Endovascular Therapy, Yale School of Medicine, New Haven, CT.

Document Type

Article

Publication Date

1-2024

Institution/Department

Surgery

Journal Title

Journal of vascular surgery cases and innovative techniques

Abstract

A type II endoleak after endovascular aneurysm repair can be challenging to stop. Numerous methods have been described, including trans-arterial, trans-lumbar, trans-caval, trans-endograft, peri-endograft, and open and laparoscopic surgical techniques. We present our experience with a laser-assisted trans-endograft approach, including technical variations of previous descriptions that might improve efficacy. In select cases, the laser-assisted trans-endograft approach might provide the most direct method of accessing and occluding the vessels feeding type II endoleaks.

ISSN

2468-4287

First Page

101442

Recommended Citation

Mehta, Kunal; Ponukumati, Aravind S.; Jacobs, Benjamin N.; and Kuwayama, David P., "Laser assisted trans-endograft coil embolization of a type II endoleak" (2024). Maine Medical Center. 3640.
https://knowledgeconnection.mainehealth.org/mmc/3640