Page 36 - Virtual Vascular Vol 4
P. 36

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                                                                           Embolization
                                                                           coils



























                                                                                    Glue































                       Another endovascular reintervention method to treat persistent
                       type II endoleaks after EVAR is by direct glue injection into the aneu-                                                                                                Type II endoleak shown on CT
                       rysm sac.  This X-ray showed  a patient with an AAA growing to huge                                                                                                    scan.  Treated by direct sac injec-
                       proportions (yellow arrow shows aneurysm shadow) despite previ-                                                                                                        tion with N-butyl cyanoacrylate
                                                                                                                                                                                              (NBCA) glue
        36             ous coil embolization of the IMA and glue injection into the sac.                                                                                                                                              37
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