Preemptive treatment of type II endoleak for abdominal aortic aneurysm with renal fusion (horseshoe kidney).

IF 1 4区医学 Q4 PERIPHERAL VASCULAR DISEASE Vascular Pub Date : 2024-08-08 DOI:10.1177/17085381241273299

Yasong Yu, Steven Epstein, Frank T Padberg

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Abstract

Objective: To assess viability and safety of preemptive treatment of type II endoleak for abdominal aortic aneurysm (AAA) repairs.

Methods: A 69-year-old man with renal fusion (horseshoe kidney) was referred for treatment of a 5.5 cm AAA. His anatomy was suitable for endovascular repair. The risk for type II endoleak was increased because of multiple infrarenal arterial orifices originating within the aneurysm sac. These included an accessory renal artery that supplied the renal isthmus, a patent inferior mesenteric artery, and a pair of large lumbar arteries originating from a single orifice (8 mm) at L3 spinal level. The lumbar orifice was selectively cannulated and occluded with thrombogenic coils 1 week prior to his endovascular aneurysm repair.

Results: Aneurysm repair was uneventful with no signs of early or delayed endoleak and long-term follow-up of 5 years.

Conclusions: Preemptive coil embolization of perianeurysmal arteries may be considered as a safe and effective strategy for management of potential type II endoleak.

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腹主动脉瘤与肾脏融合（马蹄肾）II型内漏的先期治疗。

目的评估腹主动脉瘤（AAA）修补术中先期治疗 II 型内漏的可行性和安全性：一名患有肾脏融合（马蹄肾）的 69 岁男性被转诊治疗 5.5 厘米的 AAA。他的解剖结构适合进行血管内修复。由于动脉瘤囊内有多个肾下动脉孔，因此发生 II 型内漏的风险增加。这些动脉包括一条供应肾峡的附属肾动脉、一条通畅的肠系膜下动脉，以及一对源自L3脊柱水平单个孔口（8毫米）的大腰动脉。在进行血管内动脉瘤修补术前一周，他选择性地在腰动脉口插管并用血栓形成线圈进行闭塞：动脉瘤修补术顺利进行，无早期或延迟内漏迹象，长期随访5年：在处理潜在的 II 型内漏时，对肛周动脉进行先发制人的线圈栓塞可被视为一种安全有效的策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Vascular 医学-外周血管病

CiteScore

2.30

自引率

9.10%

发文量

196

审稿时长

6-12 weeks

期刊介绍： Vascular provides readers with new and unusual up-to-date articles and case reports focusing on vascular and endovascular topics. It is a highly international forum for the discussion and debate of all aspects of this distinct surgical specialty. It also features opinion pieces, literature reviews and controversial issues presented from various points of view.