Management of type II endoleak after endovascular repair of arteriocaval fistula complicating aortoiliac aneurysm: Case report and literature review

Eisuke Ueshima, Masato Yamaguchi, Akhmadu Muradi, Takuya Okada, Koji Idoguchi, Keitaro Sofue, Yoshikatsu Nomura, Yutaka Okita, Koji Sugimoto

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Endovascular treatment for arteriocaval fistula (ACF) has become the preferred alternative to open repair. However, endoleaks sometimes occur and maintain the ACF. A 64-year-old man presented with persistent fistula after placement of a bifurcated stent-graft for ACF complicating an aortoiliac aneurysm that was maintained by endoleaks from the inferior mesenteric and lumbar arteries. Transarterial embolization of the aneurysm sac and inferior mesenteric artery successfully resolved the problem without any complications observed over 16 months of follow-up. A literature review and discussion of the management options for this entity are presented. A combination of inflow and outflow control is important to obtain better long-term outcomes.

Original languageEnglish
Pages (from-to)1809-1815
Number of pages7
JournalJournal of Vascular and Interventional Radiology
Volume25
Issue number11
DOIs
Publication statusPublished - 1 Jan 2014

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